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Monroe County Business Database Form

Monroe County Business Database

A project of the Monroe County Board of Commissioner’s Monroe County

Economic Development Council

 

This form is a follow up to a phone call you recently received asking for contact information on your business that will be put in a Monroe County business database.  Your information will be held in the strictest confidence and used only to provide information to your business on things such as educational seminars sponsored by the Monroe County Economic Development Council.

If you find the information of no value to you and desire to be removed from future emails/mailings, you may opt out from receiving future information.  All emails/mailings will be identified with Monroe County Economic Development as the sender.  None of your information will be sold or shared.  Our main means of communication with you will be via email.

Please fill out the form and return it to Nora Feuquay, U of I Extension Community and Economic Development Educator, Monroe County.  You can mail, email or fax the form to 100 S. Main St. Room 17, Waterloo, IL 62298, nfeuquay@illinois.edu or to 618-939-4191 (fax).  If you have any questions you can also reach Feuquay at 618-939-8681 ext. 309 or at 618-363-9386.

 

Name/type of business:_______________________________________________________________

__________________________________________________________________________________

 

Name of owner(s)and/or primary contact:_________________________________________________

__________________________________________________________________________________

 

Address:___________________________________________________________________________

 

Email Address:______________________________________________________________________

 

Phone:____________________________________________________________________________

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