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* 1. What is your first and last name?

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* 2. What is the name of your business(es)?

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* 3. What is your business(es) address?

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* 4. What is your email address?

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* 5. Will you be attending the March 18th (3:30PM-5:00PM) North Side Business Forum at Old Crow Smokehouse, 3506 N. Clark Street? If answering yes, please plan to arrive as early as 3:15PM, as the event will start promptly at 3:30PM. This is your opportunity to ask questions and find out what your elected officials are doing to help small businesses in Chicago.

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* 6. What Chamber of Commerce represents your area? (check all that apply)

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* 7. Which area of government do you find most challenging for your business? (Check all that apply)

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* 8. What are the biggest challenges for your business when working with the City?

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* 9. Please submit any questions you would you like to ask local elected representatives (Alderpersons) regarding operating a business in Chicago.

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* 10. Please submit any suggestions you may have for our elected officials to help improve the small business environment for the City of Chicago.

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* 11. As it relates to your business, what areas of government have you seen positive changes in?

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