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Please tell us about your business.

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* 1. Business Name:

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* 2. Business Address:

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* 3. Business Phone Number:

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* 4. Please briefly describe your business. What products or services do you sell? What problems do they solve?

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* 5. Is this business full-time or part-time? (FT 35+ hours/week)

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* 6. Date Business Started:

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* 7. Why did you start this business? Select all that apply.

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* 8. What is the legal entity of your business?

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* 9. Do you have paid employees or contractors?

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* 10. If YES, total number of paid workers in last 12 months (FT = 35+ hours/week)

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* 11. What percentage of the business do you own?

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