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Economic Development Service Delivery Intake Form
Western U.P. Resource Connect
Contact Date *
MM
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DD
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YYYY
Staff Person Initially Contacted *
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Inquirer Name *
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Organization Initially Contacted *
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Business Name
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Business Status *
Type of Business
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Additional Information
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Website
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Assistance Needed *
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Are you available for follow-up within 7 days? *
E-mail Address
Your answer
Phone *
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