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Company Form

Completion of the Company Form gets your company's information into our databases, which we use in part to compile our monthly lists, our annual "Book of Lists," and as possible sources for story information.

Please fill out the following survey as completely as possible.
Legal Company Name
Name You Do Business Under
Street Address
ZIP Code
Phone Number
Fax Number
Web Site
Address Type
Top Two Executives

First Executive:
Full Name

E-mail Address
Second Executive:
Full Name

E-mail Address
Marketing Contact:
Full Name

E-mail Address
Business Type:
Year Business was Founded
Business Description (8 words or less)
# of Full-Time Employees in Dane County
# of Part-Time Employees in Dane County
# of Full-Time Employees in the company
# of Part-Time Employees in the company
Gross Annual Revenue
What trade, professional and civic organizations do you or your business belong to? (Please indicated any leadership positions in those organizations.)
Are there existing articles, newsletters or other information about the company's history?
If you are a start-up company or want to improve the chance that your company will be interviewed, please complete the following questions:

Please describe your business in 50 words or less (expand on previous question).

Do you have any other locations in Dane County or elsewhere? Please list.
What was the biggest challenge you faced when starting this venture?
What business strategy has proven to be important in your success?
What business resources have you used (i.e. SCORE, LEAP, UW SBDC, etc)?
What was the primary reason for founding the company?
What type of personal financial investment did the founder(s) make in the company?
Were any family members involved and what were their roles? Please indicated relationship to founders.
Information Submitted By:
Full Name

Phone Number
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