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3. 
4. 
6. Name*
7. Title*
9. Business Name*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email Address*
20. Website*
21. Years in Operation*
23. What stage is your business in?*

    1. Startup (Sold goods/services for less than 1 year)
    2. Operating (Sales for 1+ years)
24. Current number of employees?*
26. Briefly describe your business (type and range of products and/or services you offer)*
28. Describe your growth barriers/challenges (i.e.-accounting & cash flow, operations & management, marketing & sales, technology, other)*
30. How did you learn about the Wyoming County Business Accelerator Academy?
32. By submitting your registration you agree to the Terms and Conditions
    Participant Code of Conduct; Privacy Policy; Photo, Video, Audio Consent and Release
34. Easy access to the internet & familiarity with Microsoft Word & Excel is recommended but not mandatory. For questions or to opt-out of the photo, video, and audio consent and release please contact Jennifer Tyczka at jtyczka@wycoida.org or 585-786-3764.
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

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