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* 1. What is your company name?

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* 2. Where is your company located?

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* 3. Please provide an email address where we can contact you.

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* 4. Please describe the products/services you offer.

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* 5. Please give a brief biography of the company's managing partners.

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* 6. Please describe efforts or goals to promote economic empowerment of women through your goods, services or business.

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* 7. Please describe how the company has built or expanded business within the past 12 months.

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* 8. Please provide any other information that may support this application.

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