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FASTTRAC New Venture Flyer.pub - Georgia Small Business ...

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<strong>Georgia</strong> <strong>Small</strong> <strong>Business</strong> Development Center Network<br />

DeKalb Office<br />

2296 Henderson Mill Rd. Ste 105, Atlanta, GA 30345<br />

Tel: 770-414-3110 Fax: 770-414-3109<br />

Application for FastTrac ® <strong>New</strong><strong>Venture</strong><br />

Times:<br />

Location:<br />

(Attach additional sheets if necessary)<br />

Last Name ______________________________________ First Name_____________________________________<br />

Mailing Address________________________________________________________________________________<br />

City_____________________ State_______ Zip_______ Phone (____) ______________Fax (____) ___________<br />

Email ________________________________<br />

2008 Program Dates & Information<br />

6:00—9:00 PM<br />

2296 Henderson Mill Rd.<br />

Training Room—Suite 105<br />

Atlanta, GA 30345<br />

Dates:<br />

Oct 16 Nov 6 Nov 18 Dec 11<br />

Oct 23 Nov 11 Nov 20<br />

Oct 30 Nov 13 Dec 2<br />

Description of Proposed <strong>Business</strong> __________________________________________________________________<br />

______________________________________________________________________________________________<br />

______________________________________________________________________________________________<br />

Describe any economic hardship or adverse events that have caused you to seek self employment:<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

Other information ________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________

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