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Company Name:
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Address:
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Point of Contact:
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Geographic Region Covered:
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For Profit or Nonprofit:
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What does "success" mean to your company?
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Do you currently do business with the Department
of Defense or Department of Homeland Security?
If yes, please explain:
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Indicate your company's major affiliations:
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Indicate your company's sector focus, if any:
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What is your overall annual budget for the current fiscal year?
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How is your program funded?
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Identify your specific clients, and their technologies:
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Describe your business assistance program:
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List a few impacts your company has made:
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What else should we know about your company?
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