Apply - Neighborhood Network Partner - Neighborhood Progress Fund

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Name(Required)

First Name Last Name

Email(Required)

Phone Number

Is this a mobile number?

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Best Contact Method

Phone

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Email

Years of Professional Experience

LinkedIn Profile

Now tell us about your business.

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Doing Business As (If Applicable)

Date of Legal Formation(Required)

Business Address

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Website

Please provide a brief description of your business and the service(s) you provide:

Type of Legal Formation(Required)

What geographic areas do you service?

Are you willing to reduce your rates to assist our clients?

Yes

No

The Neighborhood Network program helps entrepreneurs receive the professional service(s) they need at price they can afford.

Please explain why you are unable to reduce your rates.

Thanks for your partnership.

How did you hear about the Neighborhood Network program?

Would you be willing to refer a colleague to our program?

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Please enter your the name and email address for each colleague you would like to refer.

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