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TAP/HCDC Small Business Marketing
Webinar Series & One-on-One Sessions
Registration Form
Please complete this form to register for the event. If you have any questions, please contact Yma.Oria@esd.ny.gov.
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1.
Contact Information
(Required.)
First and Last Name
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Company Name/Affiliation
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Address
City/Town
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State/Province
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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/Postal Code
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Email Address
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Phone Number
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2.
How do you identify?
(Required.)
Male
Non-binary
Female
Prefer not to answer
Prefer to self-describe, below
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3.
Please specify your ethnicity.
(Required.)
Black or African American
Hispanic or Latino
White
Native American or American Indian
Asian/Pacific Islander
Prefer not to answer
Other (please specify)
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4.
What is your occupation?
(Required.)
Small Business Owner
Entrepreneur
Business Professional
Government/Civil Services
Non-profit/Social Service
Other (please specify)
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5.
Is your business/organization affiliation based in Harlem?
(Required.)
Yes
No
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6.
Is your business certified as a Minority and Women Owned Business Enterprise (MWBE)?
(Required.)
Yes
No
Pending status
Not applicable
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7.
After each webinar, there will be an opportunity to participate in follow-up, customized coaching sessions related to the webinar topic.
If you are interested in participating in the one-on-one sessions, please identify which webinar topics would be most helpful to you. (Select all that apply)
(Required.)
Building a Small Business Marketing Plan
Defining your Core Customer - The Key to a Successful Marketing Strategy
Marketing ROI - Is your marketing generating revenues for your business?
I do not want to participate in the follow-up coaching sessions.
