SBDC CLIENT AGREEMENTSBDC Client Agreement • November 2nd, 2018
Contract Type FiledNovember 2nd, 2018What we need to know about you... Mr. Mrs. Ms. Dr. First Name: MI: Last Name: Personal Address: City: State: Zip Code: County: E-mail: Work Phone: Home Phone: Cell Phone: Gender:Female Male Race: Asian Native Hawaiian or Pacific Islander Black or African American White/Caucasian American Indian or Alaskan Native Choose not to respond Ethnicity: Hispanic or LatinoNot Hispanic or Latino Unknown Military Status:Veteran Member of the Reserves Member of the National Guard Service-Disabled Veteran On Active Duty Spouse of Military MemberUnknown/Not stated Do you consider yourself a person with a disability?No Yes What we need to know about your business, if you're already in business... Company Name: Business Phone: Business Address:(If different from Personal Address) City: State: Zip Code: County: Business E-mail: Web Site: Business Fax: Number of Employees: Full-Time: Part-Time: Is this a home- based business? No Yes For the most recent full year, what were your: Gross Revenue/Sales +Pro