Business

Business Name

Owner(s) Name

Email

Physical Address

Street Address Address Line 2 City

Business Phone

Other Phone

Website

We are prioritizing businesses that are directly affected by, and responding to, the COVID-19 crisis. Please tell us how COVID-19 is affecting your operation. If your needs are not related we will still serve you, it's all about timing.

Have you accessed the Basin Business Advisors Program before?

Yes
No
Not sure

When?

How many years in business?

Business Sector(s) - Check all that apply

Organization of Business?

Location

Home Based
Business Location

Business Location

Lease
Own

# of Owner(s)?

Number of Employees

Full Time

Part Time

Do you intend to hire more employees?

Do you have a Business Registration Number

Gross sales last year?

What do you currently have invested into the business? Dollar value estimates on the following sections

Building

Equipment

Inventory

Land

Tools

Other Business Assets

Does the business have outside financial investors?

Yes
No

Does the business have outside financing?

Yes
No

Ex. Loans or equipment leases.

Most important area(s) of interest for advisement, check all that apply:

How did you hear about us?

Other:

Briefly describe your business. What you sell, how you operate, where you distribute, etc

What is the main reason that you are contacting us?

The Basin Business Advisors Program’s mandate is to assist commercialized businesses that create and sustain jobs and/or bring wealth into the region, or one that is positioned to do so. Please tell us in a brief paragraph how your business fits within this mandate.

Is there anything else you would like us to know about your situation that may help us assist you?

Which office are you closest to*

Serving the Columbia Basin

Basin Business Advisors Program Application for Services

Navigation

Business

Agriculture

Social Enterprise

Legal

Contact Us

Businesses Served

Counter