SMILE Campaign Panel Acceptance

* Name of business

Contact Information

* First Name :

* Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

* Email Address :

Country :

* Job Title

* Business status / Entity type

Limited company

Limited liability partnership (LLP)

Partnership

Sole Trader

* Number of employees

* Business turnover

Which of the following categories best fits the business activity?

* And finally, how would you describe your business activity (in brief)