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*First Name:
 *Last Name:
*Contact Telephone:
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(Enter as xxx-xxx-xxxx) 		*Email:
Business Name:
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How can we assist you?

 I am writing a business plan for a new business
 I need help conducting market research
 I have questions about Women’s Enterprise Centre’s loans program
 I want to learn about marketing my business
 I am interested in further developing my skills
 I need guidance on growth challenges/opportunities and strategies (explain briefly below)
 Writing an expansion business plan for an existing business
Use this area to provide us with more information:

For statistical purposes:
We want to make sure we are serving all women, regardless of ethnicity or age.
Are you:
Aboriginal Immigrant
under 35 35 – 44 45 – 54 55 +

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