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INTAKE FOR REFERABLE BUSINESSES

Use This form to complete intake for business referrals from the Chamber and put together a profile for your business for best referral match possible.
SPECIALS TO OUR REFERRALS
Section to gather information about specials you would like to offer to our referrals as an incentive to buy your product and/or services.
% Off, specific $ amount, buy 1 get 1 free, etc..
Is you business able to provide service in Spanish?
PRODUCTS AND SERVICES
Tell us up to 5 products or services your company currently offer
Who do you sell to? *
ADVERTISING & PROMOTION
Section to gather information about how your business currently do to acquire new customers
What do you currently use to promote your business *
COMPANY INFORMATION:
If no business (example: consultant, coach, or sole-proprietorship, student, etc), provide owner or representative information.
Business Address Information
Format: M/d/yyyy
List any licenses, certificates, special permits that you or your business may bave
COMPANY REPRESENTATIVE INFORMATION:
Name Block - Simple
Representative Address Information
You may use business information if same one as business location
Volunteer Opportunities
WHICH COMMITTEES WOULD YOU LIKE TO VOLUNTEER ON?
Business Resources Needs
WHAT TIME COULD YOU ATTEND BUSINESS WORKSHOPS?
AREAS YOU NEED MORE TRAINING OR CONSULTING TO IMPROVE YOUR BUSINESS:

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