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* 2. First Name

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* 3. Last Name

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* 4. Business Name

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* 5. Business Street Address

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* 6. City

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* 7. State

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* 8. Zipcode

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* 9. Phone Number

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* 10. Email Address

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* 11. Business Category

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* 12. What was your company's annual revenue (prior to February 2020)

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* 13. How has the COVID-19 pandemic affected your company's revenues?

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* 14. How many employees did you have prior to February 2020? (including yourself)

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* 15. How many employees do you have now? (including yourself)

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* 16. How would you describe your target market? (the people to whom you want to sell your product or service)

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* 17. Do you currently have a website?

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* 18. What is your website (URL)?

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* 20. Which types of social media do you have?

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* 21. Please describe how the COVID-19 pandemic has affected your business other than business revenues.

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* 22. What type of marketing assistance does your business need? (List all)

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