Protecting Your Business & Assets: Small Business Insurance Workshop

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Event Time: March 20th, 2024 at 6:00pm - 7:00pm
Location: Virtual, Zoom link will be provided

*Demographic questions - Required please. Confidentially used only to obtain data for grants.

Name *

Email *

Business Name *

Business Industry *

Do you have an active business license? *

Yes

Do you use social media to market your business? *

Yes

Household Income *

Less than $30K

$31K - $60K

$61K - $90K

$91K - $120K

$121K+

Gender *

Female

Male

Prefer not to say

Transgender

Non-binary/Non-confirming

Ethnicity *

Hispanic/Latino

Non-hispanic/Latino

Choose not to respond

Race *

Asian American/Pacific Islander/Asia

Black/African American/African

Native American/ American Indian/Indigenous

White/Caucasian/European

Multi-racial/Multi-ethnic (two or more races and ethnicities)

Different Identity

Choose Not To Respond

Date of birth *

Female Head of Household? *

Yes

Number in the household *

What is your zip code? *

Photo/Video Release Form I consent to the use of each photograph, videotape, or other likeness of me taken/recorded to YWCA Delaware. As well as, comments provided in interviews and/or in writing. Such uses may include, but are not limited to, a publication, newspaper, advertisement, web site, videotape presentation, television show, YWCA’s vendor’s portfolio, or other publication or recording. I also waive any right to compensation for such uses, or to inspect or approve the uses beforehand. I release YWCA Delaware, its legal representation and all persons acting under permission or authority from any liability for any blurring, distortion, alteration, and optical illusion that may occur. *

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