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First Name		Last Name
Phone #		Email:

Sex	Male Female	Disability
Age Range	Under 20 20 - 39 40 - 59 60 - 79 Over 80	Income Level	Under $15,000 $15,000 - $36,000 $36,000 - $60,000 $60,000 - $100,000 Over $100,000
Work Status		Disabled Veteran	Yes No

What type of business have you started or want to start?

Product	Type of Product:
Service	Type of Service:

Please rate the following Seedbiznet
website features:

Not Interested

Useful

Very Interesting

Business Resource Links

Health Resource Links

Computer Resource Links

Disability Resource Links

Seed Member Directory

Coach's Corner

Newsletter Articles

Free Tests

Seed Business Network Membership

What features would you like to see on the Seedbiznet website?

Not Interested

Useful

Very Interesting

Monthly live business forums / discussions

Monthly live health forums / discussions

Webinars on business topics

Webinars on health topics

Business-related blog

Bulletin Board or ListServ

Other Features

Additional Comments: