Orlando MBDA Business Center Customer Intake Form
The Orlando MBDA Business Center is federally funded by the U.S. Department of Commerce, Minority Business Development Agency (MBDA), and operated by 3D Strategic Management, Inc. Our clients are U.S. minority business enterprises (MBEs) owned and operated by African Americans, Asian Americans, Hasidic Jews, Hispanic / Latin Americans, Native Americans, Native Hawaiians, Alaska natives and Pacific Islanders with at least 51% control of the business. Services are available at no cost to eligible MBEs who have been in business for at least three years and have an active business status in the respective domicile.
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Registered Business Name *
Business Description *
Please provide a brief description of your products and services and/or your company mission statement.
Category *
Legal Structure *
Majority Owner Last Name *
Majority Owner First Name *
Ethnicity *
Business Mailing Address *
Business Physical Address (If different from Mailing)
Best Number to Reach You *
Business Email Address *
Preferred Method of Contact *
Required
Business Website *
Business Registration Date *
MM
/
DD
/
YYYY
Primary NAICS Code
Other NAICS Codes
Currently Exporting? *
Certifications
Annual Revenue *
Domicile of Business Registration (State) *
EIN Number *
DUNS Number *
Are You Registered in SAM.gov? *
Priority Areas of Need *
Business Consulting
Business Credit
Business Matchmaking
Capital Sourcing
Contract Opportunity Sourcing
Financial Competency Training
Operational Efficiency Training
1st Priority
2nd Priority
3rd Priority
4th Priority
5th Priority
6th Priority
7th Priority
Not a Priority
Not Applicable
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