Request For Counseling

Please complete this form and a BAC representative will contact you.
(*Required)

Title/First/Last Name*
Other Name/Partner
Address*
City* ST* Zip* ST Zip
Business Name
Business Address
Business City ST Zip
Website
Home Phone*
Business Phone
Cell Phone
E-mail*
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 not covered above, please explain:

What is your education, background experience and specific skills?

Describe type of business you are working on

Check what are your main business problem areas
Start Up Finance Sales Business Plan Organization
Any other business problem areas not listed?

What problem areas are you currently working on?

What is your timetable? (6 months, year, 18 months, etc.)

Business Advisers of Cleveland
4614 Prospect Ave. #401
Cleveland, OH 44103

216-426-2052

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