TRDA: Business Incubation > TRDA Business Innovation Center

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Use this form to apply for the TRDA Business Innovation Center’s Project Lift-Off. Contact boregan@trda.org for more information or if you have any questions.

Company Name:
Contact:

Street:
City:
State:
Zip:

Phone Number:
Fax:
Email:
Website:

Business Status:	New Existing Since:
Is the company licensed to do business in Florida?	Yes No
Number of full-time employees:
Number of part-time and contract employees:
Form of business: (Check one)	Partnership Sub "S" Corporation Corporation Sole Proprietor Limited Liability Other
Describe your business, its products and/or services:	characters left
Estimate the investment to date in the business:	$
Identify the general types of sources of this investment to date (self-funded, bank loan, friends, angel investors, venture capital, etc.)	characters left
Please check and describe the area in which you would like assisstance:	Accounting Business Financial Legal Marketing Management Strategic Planning Other
	By clicking this box I certify that all of the information contained within is true and complete.