Business Member Information

New Members Fill Out the Fields Below:

Salutation:

First Name:

Last Name:*

Email:*

Your contact information is important for us to expedite your information requests:

Address:

City:

County/District:

State/Provence:

Zip/Postal Code:

Country:

Phone:*

Fax:

Level of Education:

Present Occupation:*

Best time to reach you:

Would this be: Full-Time Part-Time

Estimated Startup Date:

Primary source of funds:*

This information helps narrow down type of factory will best fit your needs.

List any business partners:
Ex: John Doe, Jane Smith

Please provide your professional experience:*
(To choose multiple items, hold the CTRL
key down as you make your
selections.)

Estimate initial investment:*

Please select up to two additional
locations for your own factory:

Do you wish to receive your factory
correspondence and important company
disclosure documents securely online? Yes No

Note: Documents not delivered electronically will need to be delivered by traditional mail.

Additional comments or what you expect from Stuffy Bear:

* denotes a required field

Accounting
Art
Audio Visual Production
Auto Service
creatinging
Computer
Education
Food
General Business
Health
Human Resources
Management
No Experience
Programming
Publishing
Real Estate
Retail
Sales
Security
Sports

Salutation:
First Name:
Last Name:*
Email:*
Your contact information is important for us to expedite your information requests:
Address:
City:
County/District:
State/Provence:
Zip/Postal Code:
Country:
Phone:*
Fax:
Level of Education:
Present Occupation:*
Best time to reach you:
Would this be:	Full-Time Part-Time
Estimated Startup Date:
Primary source of funds:*
This information helps narrow down type of factory will best fit your needs.
List any business partners:	Ex: John Doe, Jane Smith
Please provide your professional experience:* (To choose multiple items, hold the CTRL key down as you make your selections.)
Estimate initial investment:*
Please select up to two additional locations for your own factory:
Do you wish to receive your factory correspondence and important company disclosure documents securely online?	Yes No
Note: Documents not delivered electronically will need to be delivered by traditional mail.
Additional comments or what you expect from Stuffy Bear:
* denotes a required field