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Mary source of income? Company (Physical) Address: Work Phone: Home Address: Cell Phone: Email: Check organization type: S-Corporation C-Corporation Sole Proprietorship Partnership LLC 501(c)3 1. a) How did you hear about the 10,000 Small Businesses program? (Please check off all that apply.) Program Alumni: Community College: Community Development Organization: Business Support & Networking Services: Business Association Certification.

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