Registration for

Community Up! Business Plan Program Session#1

Tuesday, October 03, 2023 6:00 PM to 8:30 PM Eastern

Location: WBC, The Community Service Building

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For all of the following questions, please answer regarding your business or planned business.

First Name

Last Name

Business Name

Address

Physical mailing / street address

City

State

Zip Code

5 digit zip code

Primary Phone

The best phone number (with area code) to reach you. Include extension if necessary.

Primary Phone Type

Type of the primary phone above

Race

White
Black
Asian
Native American/Alaskan
Hawaiian/Pacific

Check any that apply

Hispanic Ethnicity

Gender

Marital Status

Business Status

Business has started

Check if you have started conducting business. Leave unchecked if you are in the planning stages and have yet to start this business.

Funded in part through a Cooperative Agreement with the U.S. Small Business Administration.
All opinions, conclusions, and/or recommendations expressed herein are those of the author(s) and do not necessarily reflect the views of the SBA.

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