2023 EDC Team Jefferson Business Inquiries
Thank you for contacting EDC Team Jefferson for business services. We look forward to connecting with you! Please help us serve you better by providing some general information about your business. Once submitted we will contact you within one business day.

By completing this form you agree:

I request no-cost business counseling service from EDC Team Jefferson. I agree to participate in surveys designed to evaluate EDC services. Any information about my business shared with the EDC is held in strict confidence. Personal information will not be shared with commercial entities. I further understand that the counselor(s) agrees not to:

1) recommend goods or services from sources in which he/she has an interest, and

2) to not accept fees or commissions developing from this counseling relationship. In consideration of the counselor(s) furnishing management or no-cost technical assistance, I waive all claims against EDC Team Jefferson, and that of its Resource Partners and host organizations, arising from this assistance.

The information in this form is to be provided by individuals and businesses seeking technical assistance services from EDC Team Jefferson. The information is collected to help the EDC with continuous improvement of business counseling programs, to ensure effective oversight and management of entrepreneurial development programs and grants, and to meet state reporting requirements. This form should be submitted through an online portal or a paper form submitted at the EDC physical office; 385 Benedict St, 2A. Port Townsend WA 98368.

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Business Trade Name or DBA (Doing Business As) *
Business Legal Name
Business UBI
Business Location (Physical Address)
Community Designation
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Type of Business Interaction
Please tell us what business services we can assist you with.
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How many people does this business employ?
Gross Revenue Estimate (Current Year)
Business Contact Type
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Business Contact First Name
Business Contact Last Name
Business Contact Phone Number
Business Contact Email
What race is the business owner?
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Proposed, New, or Existing Business?
Is this a proposed, new or existing business?
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Type of Business Entity
What is the legal categorization of this business? Choose from the list below.
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Business Cluster *
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