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Breadbasket Bakery & Shoppe
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Russell
815 Blandford Rd Russell MA
Day Off!
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Greg Monette
Chesterfield
432 Main Road Chesterfield MA 01012
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Lloyd Miller
Cummington
445 Berkshire Trail Cummington MA 01026
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Page 1
Which Classes Would You Like to Register For
*
Business Tax Basics: What to keep and why Thursday, October 7th 6-7:30pm
Business payroll: Employee vs Subcontractor- rules and responsibilities Thursday, October 28th 6-7:30pm
Make the most of your Online Hilltown Business Directory listing - Monday, September 20th 6-7:30pm
Make the most of your Online Hilltown Business Directory listing. Tuesday, October 5th 12:30 – 2pm
Make the most of your Online Hilltown Business Directory listing - Tuesday, November 9th 8am – 9:30am
Make the most of your Online Hilltown Business Directory listing - Tuesday, November 9th 5-6:30PM
Intro To QuickBooks Wednesday, Sept 22nd & 29th 6-7:70pm
QuickBooks: Beyond Basics Wednesday, October 13th & 20th, 6-7:30pm
Business Accounting and Taxes w/ QuickBooks, Wednesday Nov 10th & 17th 6-7:30pm
Email Newsletters: Staying in Contact with your clients Thursday, October 14th 6-7:30pm
Content planning for a new year w/ Robyn Miller Wednesday, December 1, 6-7:30pm
Easy Tricks to Creating Content for all your Marketing. Tuesday, May 17th and 24th
Town of Residence
*
Select an option
Ashfield
Becket
Blandford
Chester
Chesterfield
Cummington
Dalton
Goshen
Haydenville
Hinsdale
Huntington
Middlefield
Montgomery
Otis
Peru
Plainfield
Russell
Washington
Westhampton
Williamsburg
Windsor
Worthington
OTHER
First Name
Last Name
Email
*
Username
*
Password
*
Password must be at least 7 characters long.
Enter password again
*
Password must be at least 7 characters long.
Home Address
Address Line 1
*
Address Line 2
City
*
State or Region
Alabama
Alaska
Arizona
Arkansas
Armed Forces America
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State or Region
*
Country
Zip
*
Cell Phone
*
Home Phone
Work Phone
Please Tell Us About Yourself
*
Male
Female
Other
Are you an immigrant/non-native English speaker?
*
YES
NO
I'd rather not say
Which best describes you?
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White/Caucasian
Other
Ethnicity
*
Hispanic
Non-Hispanic
Are you a Veteran?
*
YES
NO
Are you part of the LGBTQ+ community?
YES
NO
Which Best Describes Your Age Group?
*
Under 25
25 to 35
35 to 45
45 to 59
60 years or older
Are you disabled?
*
YES
NO
What is your current work status
*
Self Employed
Employed
Student
Retired
Unemployed
Other
Are you the the head of a single parent household?
*
YES
NO
Household Size
*
Select an option
1
2
3
4
5
6
7
8
Please choose the income that best fits your household of 1
Below $18,650
$18,651 to $31,050
$31,051 to $49,700
$49,701 +
Please choose the income that best fits your household of 2
Below $21,300
$21,301to $35,500
$35,501 to $56,800
$56,801 +
Please choose the income that best fits your household of 3
Below $23,950
$23,951 to $39,950
$39,951to $63,900
$63,901 +
Please choose the income that best fits your household of 4
Below $26,600
$26,601 to $44,350
$44,351 to $70,950
$70,951 +
Please choose the income that best fits your household of 5
Below $30,170
$30,171 to $47,900
$47,901 to $76,650
$76,651 +
Please choose the income that best fits your household of 6
Below $34,590
$34,591 to $51,450
$51,451 to $82,350
$82,351 +
Please choose the income that best fits your household of 7
Below $39,010
$39,011 to $55,000
$55,001 to $88,000
$88,001 +
Please choose the income that best fits your household of 8
Below $43,430
$43,431 to $58,550
$58,551 to $93,700
$93,701 +
Page 2
Tell Us A Little About Your Business
Business Name
*
Business Address
Address Line 1
*
Address Line 2
City
*
State or Region
Alabama
Alaska
Arizona
Arkansas
Armed Forces America
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State or Region
*
Country
Zip
*
Website
https://
Total Number of Employees (including owners)
*
Number of Full Time Employees
Number of Part Time Employees
What best describes your business status now?
*
Select an option
Prospective business owner (more than 1 year from startup)
PreStartup (within 1 year of startup)
Startup (business opened - sales/revenue for 3 months)
Stabilized (business operating/generating revenue)
Expanding (profitable/employing at least 1 FTE)
Is this business Woman Owned?
*
YES
NO
Is the business any of the following?
*
African American Owned Business
LatinX Owned Business
Asian Owned Business
Native American Owned Business
LGBTQ Owned Business
None of the Above
Other
Is this business Veteran Owned?
*
YES
NO
Is this business a Cooperative
*
YES
NO
Page 3
Tell us how the Hilltown CDC can help you?
What assistance are you seeking
Exploring a business idea
Creating a business plan
Starting a business
Expanding your business
Marketing/advertising your business
Purchasing a business
Value-added Farm Product
Financial management/planning
IT/Web Support
Accouting assistance
Rental Space
Seeking a loan
Food processing center/Food business
Other
What best describes your current employment status?
Select an option
Starting a business as a result of unemployment
Unemployed
Working Full Time
Working Part Time
In school or training program
Homemaker
Laid Off
Self-Employed
Seeking Employment
Working One or More Jobs
How did you hear about Hilltown CDC's Small Business Development Program?
Comments or Questions
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