Co-working Space Application

Name *
Email *
Mobile *
Gender *	Male Female
Linkedin
Status *	Student Graduate
Are you	Entrepreneur/Startup Mentor (technical or business) Corporate (Anchor company)
Governorate *	Cairo Giza Alexandria Assiut Ismailia Aswan Luxor The Red Sea the lake Bani Sweif Port Said South of Sinaa Dakahlia Damietta Sohag Suez Sharkia North Sinai Gharbiya Qalioubia Qena Kafr El Sheikh Matrouh Monoufia Minya New Valley
In which co-working space do you like to book? *	Cairo (Smart Village) Assiut (Assiut Univesity)
Why did you choose to work from TIEC's coworking space? *
The objective of using the coworking space *
How long do you need the Coworking space? *
Number of the team members
Number of requested seats *
Needed Facility *	Coworking Space Meeting Room Development Space
Frequency *	Daily Monthly One time
Please determine your value back to the co-working space/entrepreneurs *
Please select any skills that you're very strong in *	Other Coding Graphic Design UX Design Business Marketing Big data systems or analysis Legal Accounting Government relations Fundraising Experience in overseas startup ecosystems
Other *
Startup Name *
Founder Name *
Website
Facebook Page