Initial Inquiry Form
Personal Information *

Name*:        
Address1*:  
Address2*:  
City*:          
State*:         
Zip*:           
Email*:        
Home Phone*:  
Cell Phone:     
Best time to call:       AM   PM
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Education*:
      High School
      Some College 
      College Graduate 
      Advanced Degree
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Are You Presently Employed?*: 
       Yes
       No
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Briefly Describe Your work Experience*:
                        
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Annual Household Income*:
       Less than $50,000
       $50,000 - $100,000
       Greater than $100,000
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Business Interests
How Did You Hear About Little People's Creative Workshop?*:
                   Search Engine     
                   Magazine ad       
                   Online listing/ad  
                   Referral              
                   Classified ad       
                      My child is/was and LPCW student
If You Have Ever Owned a Business, Please Describe:
                      
What Caused You to Contact Us Now?*:
                      
Primary Market Area in which You are Interested*?:
                      
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Financing Your Business
How Much Capital Do You Have to Invest In a Business?*:
                      
Do You Own a Home?*:
                      Yes
                      No
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