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Email *
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Phone Number
Full Name *
Tell us about your Business
We want to know all about it! 
What's your Business Name? *
Where is your Business located? *
What year was your Business Established? *
What is your Business or Product Focus? *
Tell us the History of your Business. *
What is your Business Vision? *
Business Basics
Type of Business Entity? *
Current Sales Volume or Acreage
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Investment Breakdown Percentages
(Equipment, Personnel, Infrastructure, Land. Etc.)
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Social Media *Please select all that apply
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Name your top 3 Business needs:
Business Need 1: *
Business Need 2: 
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Business Need 3: 
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Are you a Georgia Grown Member?
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If so, when did you become a member? *
Do you Utilize the Benefits Available from Georgia Grown?
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Are You Open to Sharing Select Information as a GGIC Success Story? *Upon your approval
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