Express interest: Regional Connect

Your next step is simple—express interest now. Take a minute to complete and submit this short form. There’s no obligation. There’s no commitment.

It all starts with a conversation. We’ll get back to you for a quick phone call to explore if Queensland Leaders Gold Coast is the right fit and can help you achieve your goals.


Company name*
Trading name *
First name*
Last name*
Position *
Address *
Office phone *
Mobile phone *
Email *
Website *
Number of full-time employees*
Number of part-time/casual employees*
What does your business do? (2-3 sentences is okay):
How did you hear about us?