U.S. Small Business Administration Counseling Information Form SBA Form 641 For El Paso SCORE 223, El Paso, TX
Counseling Request
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indicates required fields
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Last Name:
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First Name:
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Email Address:
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Primary Telephone:
Secondary Telephone:
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Street Address:
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City:
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State:
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Zip Code:
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Currently in Business?:
Yes
No
Type of Business:
Information
Construction
Retail Trade
Manufacturing
Finance & Insurance
Wholesale Trade
Real Estate
Health Care
Professional & Technical
Other
Number of Employees:
Month and Year Business Started:
Legal Entity:
Sole Proprietor
Partnership
Corporation
S-Corporation
LLC
Other
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Conduct any business online:
Yes
No
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Home based business:
Yes
No
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Select Nature of Counseling Desired:
How do I start a small business?
Business Plan
Financing / Loan
Managing a business
Managing employees
Marketing
Buy / Sell Business
Accounting
Internet / Computers
Legal
Describe specific assistance requested:
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Will you be bringing a Proposed Business Plan:
Yes
No
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Have you obtained your credit score?:
No, but I know that a Credit Score is required for applying for financing.
YES, I will have my credit score available for counseling.
Prefer to meet at location?:
10 Civic Center - Downtown
1359 Lomaland - East Side
Desired language for counseling:
English
Spanish
No preference
Preferred counseling time:
Veteran Status:
Veteran
Non-Veteran
Service-Disabled Veteran
Have you declared bankruptcy in last ten years:
No
Yes
Check all that influenced you to contact us:
SBA
Bank
Business Owner
Chamber of Commerce
Other Client
Magazine
Newspaper
Television / Radio
Internet
Other
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