North Carolina Small Business Coalition - Sign On
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Organization Name:

 

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Organization Website (url):

 

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Staff Contact First Name:

 

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Staff Contact Last Name:

 

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Email:

 

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Primary phone:

 

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Is your organization directly involved in the entrepreneurship and small business arena (i.e. resource provider, lending institution, technical support, etc.)?

Yes
No

If yes, please select the category (or categories) that best describes your organization's engagement with entrepreneurs and small business owners.

Resource Provider
Lending Institution/Funder
Technical Support Provider
Advocacy
Other  

Does your organization have a membership network?

Yes
No

Does your organization have chapters/branches?

Yes
No
Please provide the address information for your organization below. This information will be used to accurately identify your local, state, and federal policymakers regarding relevant small business legislation and engagement opportunities.
 
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Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

By submitting this form, I declare that I have the authority to commit to serving as an official NC Small Business Coalition Partner. As part of this Coalition, I acknowledge the NC Rural Center has permission to publicize my organization's name on their Coalition materials (i.e., website).