Printable QVCDC Technical Assistance Request
Print this form and mail, fax, or bring it in personally to:
Quaboag Valley Development Corp. (QVCDC), 23 West Main Street, Suite 1, Ware, MA 01082
FAX: (413) 967-3008
Business Information:
Name: _____________________________________ Business
Name: ______________________________
Address: _____________________________________ Town: _____________ State: ____ Zip: __________
Day phone: ___________________ Evening Phone: ___________________ Email: ____________________
Best method of contact: ___ Phone
___ email
___other:______________________
Industry/Type of Business:____________________________________
Form of Business: ___ Sole Proprietorship
___ Partnership
___Corporation
Are You employed full or part time:_________________________
Do you have employees: ___No ___Yes: ___full time
___part time
Type of Assistance Required
(please check all that apply):
__ Accounting __ Business Growth __ Business Strategies
__ Coaching (business) __ Computerized Bookkeeping __
Custom Computer Software
__ Financial Planning __
Financial Management
__ Graphic Design
__ Legal __
Loan Development __
Marketing Research
__ Marketing Strategy __
Marketing & Promotion __ Web
Design
Miscellaneous Information:
How did you hear of the QVCDC's
Technical Assistance program?
____________________________________________________________________________________________________________________
Additional comments, questions or pertinent information, Special needs, etc.:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
The
Quaboag Valley CDC is an Equal Opportunity provider
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