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Legal Clinic Registration Form

Name:
Company Name:
Address:
City: State: Zip:
Phone (Day): (Eve):
Email:
How did you hear about our Workshop?


Minority Owned Business? -Yes -No
Women Owned Business? -Yes -No
Year(s) in Business:
Would you like to get certified as M/WBE? -Yes -No
What is your legal request?



Keep this checked to confirm you are registering for June 15, 2010 BEDC's Small Business Legal Clinic.