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Name *
Company Name *
Address
City
State
Zip
Phone *
E-Mail *

My business is associated with the following industries:
Agricultural	Arts	Biotechnology
Child Care	Construction	Crafts and Hobbies
Events/Sports Production	Finance/insurance/real estate	Food processing
Health care products and services	Information services	Logistics
Manufacturing	Professional services	Restaurant
Sales	Service	Tourism/Hospitality
Transportation	Warehousing	Wholesale trade
Other or Unsure

Briefly describe your business:
Business Description

Briefly describe any expansion plans your company has:
Expansion Plans

Is your business:
A start-up company	An existing business

How many people does your company currently employ?
1-5	6-10	11-24
25-100	Over 100

How many employees do you intend to add this year?
11-24	1-5	25-100
6-10	Over 100	Not applicable

How much investment will you make in your company this year?
$50,000 or less	$50,001-$100,000	$100,001-$500,000
over $500,000

Is your business located in your home?
Yes	No

Is your business minority or female owned?
Yes	No

My company is located or I am interested in locating in (check all that apply):
Downtown Greensboro	East Market Corridor - Greesnboro	Greensboro Development Zone
High Point Development Zone	Other or still looking