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?
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Additional comments, questions or pertinent information, Special needs, etc.:
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The Quaboag Valley CDC is an Equal Opportunity provider