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2. Information
   The information submitted through this form will be used by the WEDC for record keeping purposes only. Only the business name/website/phone number will be disclosed to the public on our website Business Directory. YOUR BUSINESS MUST BE LOCATED IN WINDCREST TO BE PLACED IN OUR DIRECTORY
4. Business Name*
   Fill out the field with your business name.
6. Owner Name
7. Owner Phone Number
9. Type of Business - Check all that apply

   1. Business
   2. Church
   3. Civic Club & Organization
   4. Education & Regional Universities
   5. Financial Institution
   6. Health & Dental
   7. Hotels

   1. Major Regional Employer
   2. Office Operations
   3. Regional Attraction
   4. Restaurant
   5. Retail & Office Complex
   6. Utilities
   7. Other, not listed
11. Contact Person
12. Title
13. Phone Number
15. Address
17. City
18. State
19. Zip Code
21. Phone Number
22. Fax Number
23. Other Contact Number
25. Email Address
26. Website
28. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing this document you agree to have your business listed in the Windcrest Economic Development Corporations Business Directory.

    1. I agree.
30. Electronic Signature
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field