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Are you interested in being a BizRoots entrepreneur-partner (client)? If so, please fill out the information below and a member of the BizRoots team will get back to you. Every quarter we select a handful of companies to join our network of portfolio companies.

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Please do not get discouraged if your company was not chosen on your first submission. We have many qualified companies applying with only a limited number of spots available

Name*:

Email*:

Company Name:

Industry:

What phase of development are you at?

Summary of Business

What is the biggest issue that your business is currently facing?

What do you hope to gain from being a BizRoots client?

How do you plan to add to the BizRoots community?

Additional Comments:

Please feel free to contact us here