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Business

Is your mailing address the same as your street address?

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Choose Yes or No

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Choose all that apply.

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What is the first day your business started serving customers?

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What does your business do?

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Anything else we need to know?

I hereby grant BRIDGE permission to use photographs, video recordings, and/or written testimonials taken of me during participation in BRIDGE programs, events, or services for promotional, educational, and marketing purposes, including but not limited to social media, website, and print materials. I understand that I may revoke this consent in writing at any time.

I certify that all the information provided in this application is true and accurate to the best of my knowledge & I am authorized to submit this information on behalf of the business.

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