Assistance Inquiry

Launch SA Assistance Request Form

Thank you for reaching out to us about assistance! Please fill out the information below and we will get back to you as soon as we can.
Name

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Company
What is your address? *

Address

Address line 2

City/TownState/Region/Province

Zip/Post CodeCountry
What is your gender?*
What is your Military Status?*
What is your race/ethnicity?*

AsianAmerican Indian or Alaskan NativeBlack or African AmericanHispanic or LatinXWhiteNative Hawaiian or Pacific IslanderPrefer not to answer
How did you hear about us?*
What industry does your business operate in? Please select all that apply.

Consumer Packaged Goods (CPG)RetailRestaurant (Dining / Food Service)Food and Beverage ProductionTechnology / SoftwareConstructionContractors (Specialized Trades)Business ServicesResidential and Commercial ServicesNon-Profit / Advocacy OrganizationsArts, Entertainment, and Creative IndustriesEducation and TrainingHealthcare and WellnessE-commerce and Online BusinessesBeauty and Personal CareChildcare and Family ServicesOther
Tell us more about your business. Feel free to share information such as what you do, your goals, or anything else you'd like us to know.
What type of assistance do you need?*

I just started or I am thinking about starting a business and need help.I have an existing business and need help with growth and/or expansion.I need help finding resources & education to help me run my business.I need help finding funding or financial assistance for my business.Other
We’d like to learn more about the specific assistance you need. Please select all that apply.

General SupportAccess to Funding or LoansBusiness Planning and StrategyMarketing and BrandingWebsite or Online PresenceLegal and LicensingFinancial ManagementFinding CustomersHiring and WorkforceOperations and ProcessesE-commerce SupportTechnology and SoftwareNetworking and PartnershipsProduct DevelopmentSpace or FacilitiesNon-Profit SupportOther
Is there anything else you’d like to share about the assistance you need? Feel free to elaborate.
If your business has a website, please enter below.
Are you currently in business?*
What is your business structure?*
Should be Empty:

Launch SA Assistance Request Form