Contact Us/Intake Form Salutation --None--Mr.Ms.Mrs. First Name Last Name Title Company (If you do not have a company name yet, enter in your first and last name) Website Street City State/Province Zip Email Phone Mobile Best Contact Method: --None--EmailMobilePhone Business Status: --None--NewExistingNot Yet Business Entity Type: --None--CorporationLLP/LLCNonprofitPartnershipSole ProprietorUndecidedOther Business Start Date (Date Format: mm/dd/yyyy): Number of Employees not including self (Numeric Value): Number of Partners not including self (Numeric Value): Type of Service Requested: --None--Pre start-up: Considering starting a business, need to do research and planningStart-up: 0-1 years in business, need to register, need info on additional requirements, need financing or technical assistanceExisting: 1+ yrs in business, needs financing, biz management assistance, info on business programs, contracting, etc.Expanding: Looking to grow business, including capital improvement, new concept/product, new location, new hiresRelocating: Existing business seeking to move to new locationBusiness Acquisition: Business has transferred ownership, sold, or bought an existing businessnew locationClosing: Business is closing, will close, or has closed Message Submit OFFICE OF SMALL BUSINESS IS CLOSED THE 1st & 3rd Thursday OF THE MONTH FROM 10AM-12PM FOR STAFF MEETING (unless otherwise noted)