Access to Capital with LiftFund August 2023

Access to Capital Webinar with LiftFund Participant Form

Please complete this Participant Form to confirm your attendance at the Access to Capital with LiftFund. This form will help us ensure that attendees of the Access to Capital Webinar with LiftFund receive all follow-up information, including the link to the recording for this webinar following the end of today's session.

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* 1. Contact Information

First and last name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Race

Asian

Black or African-American

Native American

Alaskan Native

Native Hawaiian or other Pacific Islander

White

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* 3. Ethnicity

Hispanic Origin

Not of Hispanic Origin

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* 4. Primary Language

English

Spanish

Other (please specify)