Intake form

Name *

Email address *

What is your primary industry?

What is your current role?

How did you hear about industry network mixer?

Please select at least one option.

Social Media

Word of Mouth

Online Advertisement

Networking Event

Website

Email Invitation

What are your networking goals?

Please select at least one option.

Find Collaborators

Seek Investment

Expand Client Base

Learn from Others

Promote My Business

Build Partnerships

Which events would you be interested in attending?

Please select at least one option.

Luxury Networking Event

Panel Discussion

Workshops

Social Gatherings

Networking Dinners

Do you have any dietary restrictions or preferences?

What is your preferred method of communication?

Please select at least one option.

Email

Phone Call

Text Message

In-Person

Video Call

Additional questions or comments

Industry Network Mixer