Request for Counseling

Name/partner's name*

Street Address*

City*

State*

Zip*

Business Name

Business Address

Business City

Business State

Business Zip

Home Phone Number *

Business Phone Number

Cell Phone Number

Email Address*

Best time & place to call

How did you hear about Business Advisers of Cleveland?

Newspaper Ad

Library Session

Friend

Internet

If you heard about us another way, please explain:

What is your goal?

Start a business

Buy a business

Evaluate a proposal

Expand a business

Reorganize a business

If your goal is different, please explain:

What is your education, background experience and specific skills?

Describe type of business

Check what are your main business

problem areas

Start Up

Credit and Money

Sales

Business Plan

Organization

Any other business problem areas?

What problem areas are you currently

working on?

What is your timetable?

If you have a any other information such as a Business Plan, please bring it with you

The BAC office is open Monday through Friday with appointment times avilable at 9:30 a.m., 10:45 a.m., 1:15 p.m. and 2:30 p.m. The office will contact you to arrange an appointment.

LET US HELP YOU ON THE ROAD TO SUCCESS -- COUNSELING IS FREE