Service Provider Registration Form

Service Provider Registration Form
The MLKCIA invites business service providers to participate in our annual Technical Assistance Interactive Fair on January 12, 2026, at the King Community Center. This premier community event connects expert advisors with entrepreneurs and small business owners throughout the MLK Corridor, creating meaningful opportunities to network and showcase services in critical areas including tax preparation, regulatory compliance, business financing, marketing, and strategic growth planning.

This event also marks the official launch of the 5th MLKCIA Business & Entrepreneurial Grant Program, opening applications for grants up to $50,000 to support economic development within the MLK Corridor area. Service providers will have the unique opportunity to connect with both established business owners and emerging entrepreneurs, including future grant recipients who will need ongoing professional support as they grow their businesses.

We look forward to an evening of collaboration, connection, and community impact as service providers interact with motivated business owners and contribute to strengthening Jackson's entrepreneurial ecosystem. Join us in making a meaningful difference in our community's economic development.

Ready to participate?

Please complete the registration form below
Name of Business/Organization providing service:
Primary Contact

First NameLast Name
Title of Contact Person
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list below your website address and any social media links you'd like to share:
NOTE:

The Event Time is from 5:30 pm to 7:30 pm. Service Providers are expected to arrive 1 hour prior to the event.

Please select the number of appointments your organization can handle per period, and the time periods you will be available below.
NoYes
Accounting & ComplianceBusiness Financing &/or GrantsMarketing & BrandingBusiness Operations & EfficiencyLegal & RegulatoryCity Services
Tax Filing and ReportingFInancial Statement AssistanceTax Deductions and ExemptionsOther Tax Related Issues
Access to Business LoansTechnical Assistance FundingCash Flow ManagementOther Financing Concerns
Marketing PlanWebsite CreationLogo CreationBranded TemplatesOther Marketing Needs
Streamlining OperationsHR and Employee ManagementSupply Chain OptimizationOther Operational Issues
Business Licensing and RegistrationContracts & AgreementsIndustry-Specific RegulationsOther Business Legal Assistance
Facility Acquisition or Change of UseZoning or District InformationBuilding and/or Construction Permits
Please attach of copy of your service menu with any fees included.

Cancelof
YesNo
Please detail any special accomodations needed:
YesNo
YesNo
Provide your contact information as you would like to appear on the resource list:
By submitting this form, I confirm that the information provided is accurate, and I acknowledge that my participation in the Business Technical Assistance Resource Fair is subject to event guidelines and availability. I understand that this registration does not guarantee participation and that I will be contacted to confirm my booth assignment and event details.
Should be Empty: