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Name:
Email:
Comment:
Email Address
*
First Name
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Last Name
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Business Name
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Annual Business Revenue
<$250,000
$250,000 - $499,000
$500,000 - $999,000
$1M - $1.5M
$1.5M - $2M
$2M - $2.5M
$2.5M - $3M
Phone Number
Website
State
MWBE Certified
Minority-Owned Business Enterprise
Woman-Owned Business Enterprise
LGBTQ+-Owned Business Enterprise
Veteran-Owned Business Enterprise
Disability-Owned Business Enterprise
None of these options apply to our business
Prefer not to say
Race Owner
Asian
Black or African American
Native American or Alaskan Native
Native Hawaiian or Pacific Islander
White
Prefer not to say
