Name:    

Address:

City:   State: Zip Code:

Email: 


Phone Number: Best Time To Contact You:

Please describe your company. Include your company name, business formation type, date company formed, a brief description of what you do and your mission statement.


Please describe what skills, previous employment, and/or education that helped you decide to do this type of business.


Describe your primary target market.


Who, specifically, is your toughest competition and why?


How are you different?


What was your gross income in the most recent full year? What was your marketing budget?


Will you be seeking funding for you rbusiness? If so, how much?

What else do you think we should know about you and/or your business?