Name:
Organization (if applicable):
Address:
City:    State:   Zip Code:
Telephone:
Email:

Do you plan to attend the entire workshop?
Entire Workshop
Morning Only

I will be eating lunch at the event:
Yes No

I am (check all that apply):
A business owner. Type of Business:
Interesting in starting a business
A community supporter of business

If you intend to attend in the afternoon, please select two of the following workshops to attend:
Franchising Opportunities
Growing Your Business/Effective Marketing
Starting a Business/Business Plan Development
How to Start and Operate a Tourism Venture

How did you hear about the Workshop?
Newspaper
Website
Flyer
TV
Other:

OPTIONAL DEMOGRAPHIC INFORMATION

Race (Optional):
Caucasian
African-American or Black
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Other Race
Two or More Races

Are you Hispanic or Latino (Optional)?
Yes No

Gender (Optional): Male Female

Age (Optional):
-- Select Here -- 18-21 22-25 26-30 31-40 41-50 51-64 65 or over

Military Status (Optional):
Not Applicable
Veteran
Vietnam Veteran
Disabled Veteran


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