Business Profile
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Name of Business *
Business Address *
EIN #
NAICS #
DUNS #
Business Phone *
Business Email *
Website
Products/Services *
Type of Business *
Industry *
Number of Full-Time Employees (Including Owner) *
Number of Part-Time Employees *
Business Start Date *
MM
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DD
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Who is your primary customer? *
Owner(s) Name *
Owner's Age Range *
Cellphone Number *
Personal Email *
Household Size *
Owner's Home Address *
Average Household Gross Income *
What are the main challenges/obstacles your business faces? *
Gross sales for last fiscal year *
Certifications
What are your plans for growth and expansion over the next two years? *
If applying for a loan, how much are you looking to borrow?
How would the funds be used?
How did you hear about RIBBA? *
Signature *
Date *
MM
/
DD
/
YYYY
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