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	Cloveer Service Agreement Request Please fill out the information below. We will email a Service Agreement outlining all of the details, terms and pricing for the Cloveer Service you are interested in within 2 business hours, if submitted during the following hours (8:00AM-5:00PM EST). If you have any questions, please call 813.333.5800.
	Company Name* Enter the full name of the company to appear on your Service Agreement
	Contact Name - Person who will sign the agreement* First Name Last Name
	Title of contact listed above*
	Address of company* City State Zip Code
	Phone number*
	Fax number
	Email address*
	How did you find us...*
	Services you are Interested In* Full 8a Application Completion Service ($3,900) ($300 additional for more than one applicant or ownership in another business) Pre 8a Application Completion Service ($500) 8a Application Review Service ($1,750) 8a Business Plan Development Service ($3,000) 8a Business Plan Review Service ($1,000) 8a Annual Review Service ($3,000) HUBZone Application Completion Service ($1,500) ($500 additional for more than 50 employees or ANC or Tribal Entity) VA VETZ Application Completion Service ($1,500) Economic Disadvantage Narrative Writing Service Social Disadvantage Narrative Writing Service ($1,000) Potental for Success/Waiver Writing Service ($499.00) 8a Mentor/Protege Agreement Service ($3,000) WOSB Application Completion Service ($1,000) EDWOSB Application Completion Service $1,500) Other: Other Value
	Number of Applicants*
	2 Years in Business* with operating revenues earned in each year
	SBA Designated Group Membership*
	Does any Applicant or Spouse of any Applicant have Ownership in Any Other Business?*

Cloveer Service Agreement Request