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Diagnosing the Health of Your
Business Workshop Registration Form |
| Name:
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| Company Name:
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| Address:
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| City:
State:
Zip:
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| Phone (Day):
(Eve):
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| Email:
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How did you hear about our Workshop?
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Minority Owned Business? -Yes -No
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Women Owned Business? -Yes -No
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| Year(s) in Business:
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Would you like to get certified as M/WBE? -Yes -No
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Keep this checked to confirm you are registering for BEDC's Diagnosing the Health of Your Business Workshop
for March 24 and March 25.
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