Please complete the form to be included in the SoCal Collab registry and to register for the launch of SoCAL COLLAB on Saturday, November 16, 2024 3pm-5pm The location is the Carson Library, 151 Carson Street, Carson, California 90745. Feel free to contact Gayle Gordon for additional information at 424-291-2774. This will be a meet and greet as well as a gathering of likeminded individuals. Please bring your business materials to network, as we build relationships and our community. Together we can unleash our fullest potentials! Please complete the form in entirety.
Company Name
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What is the company’s motto or tag line?
What is the business catergory?
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Education
Products
Services
Media
Events
Technology
Medical/Mental Health
Other
What type of entity is the business ?
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Sole Proprietor
Nonprofit
LLC
SCorp
CCorp
Partnership
Other
Does the business have a office space?
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Yes
No
Contact Person
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First Name
Last Name
What is your position in the company?
*
Please Select
President/CEO
CFO
Board Member
Other
Email Address
*
example@example.com
Phone Number
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Please enter a valid phone number.
Preferred Contact Method
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Email
Phone
Other
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Briefly describe the business and services
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List (3) strengths in your business
List the top (3) needs of the business.
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Besides funding what has been your company’s greatest challenge?
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Upload your QR Code or business card
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Would you be interested in presenting to the SoCAL COLLAB ?
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Yes
No
Maybe
What business topics would you like for SoCal COLLAB to provide training ?
Will you be attending
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Yes, I will attend
No, I will not attend
Additional Comments
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