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The Ben Craig Center Incubator - Online Application

Contact Name
E-mail 
   
Company
Address 
City 
State 
Zip 
Phone 
   
Principal's Names:
   

Check the box that best describes your present status
Starting a Business
Presently in Business

   
If you are presently in business please answer the following questions.
   
Year company started
Gross sales for last 12 mos.
Number of employees
   

BUSINESS SUMMARY

Goal for your company in 5 years?

$1 Million
$5 Million
$10 Million
$50 Million
$100 Million

What industry are you in?

Retail
Technology
Distribution
Construction
Service
Manufacturing

What is the size of your target market?


Market Strategy - How will you penetrate your market?

Current Cash Flow?

Positive
Negative

Cash Reserves ?

None
Less than 1 month fixed costs
Less than 3 months fixed costs
Less than 6 months fixed costs
Less than 12 months fixed costs


Why do you want to join The Ben Craig Center Incubator Program? What value do you expect to receive?

   

How did you hear about us?

Referral
Web Search
Business Journal
Bank, Accounting Firm, Tax Planner

Other:
   
Here's my situation. What can The Ben Craig Center do for me?
   
 
   

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