Entrepreneur Training Registration
Client Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Are you a Florida resident?
*
Please Select
Yes
No
Are you Active Duty within 12 months ETS, National Guard, Veteran, Veteran spouse (or un-remarried Veteran spouse?
*
Please Select
Active Duty within 12 months ETS
National Guard
Veteran
Veteran Spouse or un-remarried Veteran Spouse
If a Veteran, what was your discharge status?
*
Please Select
Honerable
Medical
Dishonerable
Bad Conduct
N/A
If Veteran, Spouse, or un-remarried former spouse of Veteran, do you have copy of DD214?
*
Please Select
Yes
No
If you have an existing business, is it registered with Florida Sun Biz? If so, please provide name of business, if not put N/A.
Do you have a registered business with an EIN? If so, please provide EIN
What events will you be attending
Getting Started Course
Business Model Course (Existing Business Owners or has completed Getting Started Course)
Additional Information
Additional information you'd like us to know or questions you might have:
Please verify that you are human
*
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