Forms • Small Biz Basics & Growing a Business Enrollment For

First Name:*

Last Name:*

Email Address:*

Town/City:*

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Which course are you interested in enrolling in?

	Small Biz Basics
	Growing a Business

Both

What do you hope to accomplish by taking this course?

	Open My Own Business
	Expand My Current Business
	Acquire An Existing Business

	Learn About Entrepreneurship
	Not Sure!

How did you hear about these online entrepreneurship course opportunities?

	Wise Econ Staff Member
	Another Entrepreneur Referred Me
	News/Media

	Facebook/Social Media
	Other

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