Launchpad Entrepreneurship Program Application

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1. Personal Information (Required.)

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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2. Business Information (Required.)

Legal Business Entity Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Mobile Phone Number

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3. Tax ID

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4. Do you have a valid business license to operate? (Required.)

Yes

No

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5. Do you know your NAICS code? (North American Industry Classification System or NAICS is a classification of business establishments by type of economic activity (the process of production).