Business Name:
Business Address:
Business ZIP code:
Business Phone:
Description of Business Concept:
Industry:
retail
service
wholesale
manufacturing
construction
other
Staff Size:
1
2-4
5-9
10-24
25-100
100+
Budget:
under $100,000
$100,000-$500,000
$500,000-$1,000,000
over $1,000,000
Does the business have any intellectual property (patent, trademark, copyright, trade secret) or other sustainable advantage?
Do you have a Business Plan?
Describe your business development needs:
Select which business topics you are interested in:
Advertising/Promotion
Business Planning
Buy/Sell a Business
Customer Service
Electronic Commerce
Technology
Financial Management
Gov't, Doing Business with
Human Resource Management
International Business
Internet Marketing
Leadership Development
Project Management
Quickbooks
Sales Skills/Management
Starting a Business
Strategic Planning
Supervisory Skills
Taxes
Women in Business
Distribution Management
Legal Issues
Marketing
New Product Development
Professional experience related to business:
Describe your target market.
What is the market location?
Local
Regional
National
Global
What is the market size?
under 250,000
250,000-1,000,000
1,000,000-10,000,000
over 10,000,000+
What need or problem does your concept address in the market?
Sales for the past three years:
2008:
Current amount invested in the business?
Has the business received any grants?
How much can you invest in the idea today?
How much capital do you need?
First, Last Name
Mailing Address
City, State ZIP
County
Adams Ashland Barron Bayfield Brown Buffalo Burnett Calumet Chippewa Clark Columbia Crawford Dane Dodge Door Douglas Dunn Eau Claire Florence Fond du Lac Forest Grant Green Green Lake Iowa Iron Jackson Jefferson Juneau Kenosha Kewaunee LaCrosse Lafayette Langlade Lincoln Manitowoc Marathon Marinette Marquette Menominee Milwaukee Monroe Oconto Oneida Outagamie Ozaukee Pepin Pierce Polk Portage Price Racine Richland Rock Rusk Saint Croix Sauk Sawyer Shawano Sheboygan Taylor Trempealeau Vernon Vilas Walworth Washburn Washington Waukesha Waupaca Waushara Winnebago Wood
Home Phone
Email
Gender
Veteran Status
Non-Veteran
Veteran
Service-disabled Veteran
Ethnicity
Asian
Black
White
Native American
Hawaiian/Pacific Islander
Other
No Response
Hispanic?
Education
High School
Some College
College Degree
Graduate Degree
