Personal Information
Name:
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Phone:
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Email Address:
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Address:
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Address 2:
City:
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State:
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Zip:
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Business Information
Business Name:
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Status:
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Pre-Venture
New (First Year)
Existing
Other
If Other, Please List:
Briefly Describe Your Business:
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Business Needs
List product ingredients and equipment you will utilize in your business:
Is there a written business plan available for review?
Yes
No
What is your target market?
Number of Employees:
Full Time:
Part Time:
Anticipated number of hours of kitchen usage needed per week or month:
Do you desire assistance in any or the following areas?
Item Pricing
Bookkeeping
Labeling
Marketing\Distribution
Recipe Conversion
Product Stability/Shelf Life
Package Design
Nutritional Analysis
Other:
If you are already in business, has your product proven viable?
Yes
No
If no, briefly describe why not:
If you are not yet in operation, have you tested your target market for product acceptance and profitability?
Yes
No
Does your business have adequate financing?
Yes
No
Briefly explain:
Additional Comments:
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