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Mason SBDC: Request for Counseling

The Virginia SBDC is committed to providing high quality, in-depth counseling to small businesses. Please provide the information below, which will be held in the strictest confidence by our staff.

*    Denotes required entry

Name (First, MI, Last):     *
Business Name:     *
Address:  
 
City:  
State:  
Zip Code:  
Business Phone:  
E-mail Address:     *
Is your business currently in operation?   Yes  No
If Yes, start date was?  
Please indicate in which industry
your business is/will be:
  Retail        Manufacturing
Service      Construction      
Wholesale
Please describe your business in
3 to 5 words:
 
How many full-time positions do you
employ?
      Part-time?  
Have you attended a workshop here
before?
  Yes  No
If Yes, name of workshop?  
Have you been a counseling client
of the SBDC?
  Yes  No
How did you hear about our
counseling services?
 
Briefly describe the nature of
counseling you are seeking.
 


  *
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