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Business/Organization Profile Information
Help Forward Janesville get to know your business or organization. Your responses will assist us in creating an investment proposal that is customized to your business/organization.
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Why are you interested in becoming a member of Forward Janesville?
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Your answer
Company Name
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Your answer
Company Mailing Address
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Your answer
Company City & State
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Your answer
Company Zip Code
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Your answer
Company Phone Number
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Your answer
Company Website Address (type "none", if not applicable)
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Your answer
Primary Contact Name (First and Last)
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Your answer
Primary Contact Title
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Your answer
Primary Contact Email Address
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Your answer
Describe your business or organization.
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Your answer
How many full time employees (FTE) are at your business/organization?
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Your answer
How many part-time employees are at your business/organization?
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Your answer
Check all that apply to your business/organization.
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Small Business (less than 50 employees)
Woman Led/Owned
Black Led/Owned
Hispanic or Latino Led/Owned
Veteran Led/Owned
Not Applicable/Prefer Not To Answer
Other:
Required
How did you initially hear about Forward Janesville?
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Web Search for Chamber of Commerce
Heard About It From A Forward Janesville Member Business
Heard About It From A Forward Janesville Ambassador
Attended a Forward Janesville Event
Facebook
Instagram
LinkedIn
Twitter
Other:
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