Business Portfolio - Technical Assistant & Development
Momentum Circle & Toledo BGC
For each client that plan to be part of the Toledo BGC, please fill out the following information. All of this information will eventually be entered into the CRM so the partners can share.

By signing this application, I gave the right and permission to share ONLY my business information in the deal flow business meeting with the Toledo BGC or any other agencies that can help build, grow and sustain my business per WOT due diligence.
First Name *
Last Name *
Phone Number *
Email *
Zip Code *
Age *
I Identify my ethnicity as: (select all that apply)
Your Assessment of the Business
Name & Description of Business *
Mailing Address (Business Physical Address)? *
Business Website: *
Business Status *
Product/Service Description (Briefly describe your product or service) *
Description of Market Opportunity *
Two MAIN Areas of Assistance *
All other Areas of Assistance requested: *
Required
Time options/ Availability to meet (for one on one appt) *checks all applicable please * *
How'd you hear about us? *
Any other additional info/comments or concern?
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