Next Level Urban Alliance Application Form

Personal Information

Full Name

First Name

Middle Name

Last Name

Email Address:

What stage is your business?

Next Level Urban Alliance Application Form Start-up phase (business is still in the planning or early development stage) Established phase (business formed and operational)

If your business is established, business name:

Business Description:

Business Address

Address:

City

Zip code:

What products or services do you sell/offer (or plan to sell/offer)?

Website (if applicable):

Employer Identification Number (EIN):

Business Detail

What year was your business established?

From where do you operate your business?

Do you have a Business Tax Certificate with the City of St. Petersburg or another local government?

YesNo

In which industry do you do business? (NAICS) https://www.naics.com/search/ - please select one: