Business Owner’s Full Name*

Address*

Business Name*

Business Address*

P.O. Box*

Social Media

How many full-time employees do you have?*

How many part-time employees do you have?*

Are you the decision maker for your business?*

How many years have you been in business?*

How many years have you been at the current address?*

How many years have you been working in your field of expertise?*

Do you have a dedicated marketing budget?*

Are you a member of any exclusive networking organizations?*

Are you a member of any trade association organizations?*

Are you a member of any trade association organizations?*

Do you agree that you can achieve more as a part of a group?*

Do you agree that strong community is important?*

Do you agree that community engagement and involvement is important?*

Do you agree that integrity is essential for success?*

Do you agree that when negative statistics increase for social issues in a community, that the businesses and the whole community are affected negatively as well?*

Do you agree that if we do not step up and do what it takes to secure that businesses succeed, that the economy will increasingly get worse?*

Why do you want to be a Cindy’s CHOICE Business Partner?*

What are your goals for your business?*

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