Rochester Young Professionals Entrepreneurs Expo
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Young Entrepreneur Expo Application
Application Due by:
September 21st 2012
Space is limited based on qualifications
and early applications
1
. Please enter your information below.
Please enter your information below.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
County:
Email Address:
Phone Number:
2
. What is your age range?
What is your age range?
under 21
21-25
26-29
36-30
31-35
36-40
40+
3
. Business Website:
Business Website:
4
. Please provide your Business Description, Product, Services. What makes your business unique?
Please provide your Business Description, Product, Services. What makes your business unique?
5
. Please select an industry category:
Please select an industry category:
Construction
Manufacturing
Wholesale Trade
Retail Trade
Transportation and Warehousing
Information Technology
Finance and Insurance
Real Estate and Rental and Leasing
Professional, Scientific, and Technical Services
Management of Companies and Enterprises
Education Services
Health Care and Social Assistance
Entertainment, and Recreation
Accommodation and Food Services
Art & Design, Marketing Communications
Sustainability/Environmental Services
Other Services
6
. What is your target market & clientele?
What is your target market & clientele?
7
. How long have you been in business?
How long have you been in business?
0-2 years
3-5 years
5+ years
8
. Number of employees?
Number of employees?
1
2-10
11-20
21-50
50+
9
. Special Offer/Discount to RYP Members to be advertised in the RYP Entrepreneurs Expo program and distributed during the event:
Special Offer/Discount to RYP Members to be advertised in the RYP Entrepreneurs Expo program and distributed during the event:
10
. I would like to learn about RYP’s discount card program.
This program aims to highlight locally owned businesses in Rochester and surrounding communities for the purposes of providing benefits through discounted products, services and offerings targeted at the Young Professional Community.
I would like to learn about RYP’s discount card program. This program aims to highlight locally owned businesses in Rochester and surrounding communities for the purposes of providing benefits through discounted products, services and offerings targeted at the Young Professional Community.
Yes
No
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