BEAR Request for Assistance Question Title * 1. Name of Business OK Question Title * 2. Preferred Contact Information Name * Company * Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Country Email Address * Phone Number * OK Question Title * 3. List issues that impact your success OK Question Title * 4. What can we do to help? OK Question Title * 5. Free services that may be of use - check those you would like to know more about. Business Resource Center Small Business Development Center SCORE Mentoring Local Government Economic Development Business Expansion & Retention Cache Valley Chamber of Commerce State Workforce Services OK Question Title * 6. Other questions or comments OK DONE