1. Your Contact Information

Business Owner/Co-owner Full Name

Your Phone Number

Your Email Address

2. Business Information

Business Name

Type of Business (Example: Manufacturing, Environmental, Services, etc.

Is your business located in California
Yes No, outside of California

Do you have between 1-10 employees in your business?
Yes More than 10 employees I work by myself

Which class would you like to attend?
Business Development Workshop with Joon Han (Thursday, January 7th, 2010) I'm interested in another class... (Please specify in "Questions" below)

3. Optional Stuff

Questions?

4. Notice

A representative from the chamber will follow up with you. Please look over your answers for accuracy.

5. Security Question (What is this?)