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Is your business a non-profit?NoYes
Is your business certified VOB or SDVOB?
Number of Employees1-45-1011-5051-100101-1,0001,001-5,0005,001-10,00010,000 +Estimated Revenues
Are you located in a US Territory?NoYes
Are you located at a APO or FPO address?NoYes
Is the above address a work address?
Are you a veteran of the US military?
I certify that my answers are true and complete to the best of my knowledge. I further certify that I am duly authorized by the Board of Directors to submit this application.
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