| For Help Call 786-223-3187 |
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Fields marked (*) are
mandatory. |
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| Company Name*
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| Industry Category* |
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| Business Activity Category* |
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Business Description (no less than 10 words)*
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| Form of Business* |
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| State Business Located* |
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| Years in Business* |
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| Years Experience in Industry* |
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| Annual Gross Sales (last 12 mo.)* |
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| Estimated Gross Sales (next 12 mo.)* |
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| Number of Locations* |
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| Total Number of Owners,Officers & Directors* |
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| Total Number of Employees* |
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| Annual Gross Payroll (US$ excluding Owners,Officers &
Directors)* |
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| Number of Full-time Employees* |
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| Number of Part-time Employees* |
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