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West Des Moines Business Incubator Application Form
Name of Business
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Federal EIN (if applicable)
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Name of Applicant
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Date of Application
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Address
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Business Address (if different)
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City
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State
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ZIP Code
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Email Address
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Phone Number
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Website and/or LinkedIn URL
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Form of Organization
Date of Business Establishment (or Proposed Date)
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DD
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YYYY
Name and Title of Person/People Having Authority to Enter into Contracts on Behalf of Business
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Brief Description of Business (Please Attach Business Plan)
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