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To Register Your Business, Please Follow these 3 Steps:

  STEP 1 : Create User I.D. and Password:

User ID	Password	Confirm Password

  STEP 2 : Provide the Information Below:

Business Name*

Business Address* Business City* Business State* Business ZIP*

Main or Branch Location Code* Business Start Date (this location) Phone (this location)* Select... Main Location Branch Location

Main Location Phone Number (required if Branch Location selected) FEIN

Contact Name Contact Title

Contact Phone* Contact Fax Contact E-mail

Type of Business Number of Employees OK to send resumes Select... Retail Commercial Manufacturing Service Select... Yes No

Please provide your hiring and/or downsizing projections for the next month, six months and year Hiring Within 1 month 6 months 12 months Select... None 1 person 2 people Under 3 people Under 4 people Under 5 people Under 6 people Under 7 people Under 8 people Under 9 people Under 10 people Under 20 people Under 30 people Under 40 people Under 50 people Under 60 people Under 70 people Under 80 people Under 90 people Under 100 people Under 110 people Under 120 people Under 130 people Under 140 people Under 150 people Under 160 people Under 170 people Under 180 people Under 190 people Under 200 people Select... None 1 person 2 people Under 3 people Under 4 people Under 5 people Under 6 people Under 7 people Under 8 people Under 9 people Under 10 people Under 20 people Under 30 people Under 40 people Under 50 people Under 60 people Under 70 people Under 80 people Under 90 people Under 100 people Under 110 people Under 120 people Under 130 people Under 140 people Under 150 people Under 160 people Under 170 people Under 180 people Under 190 people Under 200 people Select... None 1 person 2 people Under 3 people Under 4 people Under 5 people Under 6 people Under 7 people Under 8 people Under 9 people Under 10 people Under 20 people Under 30 people Under 40 people Under 50 people Under 60 people Under 70 people Under 80 people Under 90 people Under 100 people Under 110 people Under 120 people Under 130 people Under 140 people Under 150 people Under 160 people Under 170 people Under 180 people Under 190 people Under 200 people Downsize Within 1 month 6 months 12 months Select... None 1 person 2 people Under 3 people Under 4 people Under 5 people Under 6 people Under 7 people Under 8 people Under 9 people Under 10 people Under 20 people Under 30 people Under 40 people Under 50 people Under 60 people Under 70 people Under 80 people Under 90 people Under 100 people Under 110 people Under 120 people Under 130 people Under 140 people Under 150 people Under 160 people Under 170 people Under 180 people Under 190 people Under 200 people Select... None 1 person 2 people Under 3 people Under 4 people Under 5 people Under 6 people Under 7 people Under 8 people Under 9 people Under 10 people Under 20 people Under 30 people Under 40 people Under 50 people Under 60 people Under 70 people Under 80 people Under 90 people Under 100 people Under 110 people Under 120 people Under 130 people Under 140 people Under 150 people Under 160 people Under 170 people Under 180 people Under 190 people Under 200 people Select... None 1 person 2 people Under 3 people Under 4 people Under 5 people Under 6 people Under 7 people Under 8 people Under 9 people Under 10 people Under 20 people Under 30 people Under 40 people Under 50 people Under 60 people Under 70 people Under 80 people Under 90 people Under 100 people Under 110 people Under 120 people Under 130 people Under 140 people Under 150 people Under 160 people Under 170 people Under 180 people Under 190 people Under 200 people

I hereby authorize this information be viewed on Internet. I understand that this information will be made available to authorized Workforce Investment Board staffs. Name  Title  Date 08/21/2008

  STEP 3 : Click "ADD" to Complete the Process or Click "Back" to Cancel: