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Name *
E-mail Address *
Phone *
Business Zip Code *
Business Start Date *
Description of your business *
Business type *
Sole Proprietor
Partnership
Corporation
S Corporation
Limited Liability Company (LLC)
Non-profit
Other
Do you have employees? *
Yes
No
Are you registered with the secretary of State? *
Yes
No
If no, have you applied for a DBA? *
Yes
No
Have you applied for a IRS Business EIN? *
Yes
No
EIN (N/A if none) *
Have you ever filed taxes for your business? *
Yes
No
Any business certifications?
Woman Owned
Minority Owned
Veteran Owned
Other
What is your vision for your business? *
Why do you want access to The Lonely Entrepreneur Learning Community? *
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