{"id":250943,"date":"2024-10-24T08:05:04","date_gmt":"2024-10-24T12:05:04","guid":{"rendered":"https:\/\/www.edcns.ca\/?page_id=250943"},"modified":"2024-11-04T12:22:48","modified_gmt":"2024-11-04T16:22:48","slug":"client-intake-form","status":"publish","type":"page","link":"https:\/\/www.edcns.ca\/client-intake-form\/","title":{"rendered":"EDCNS Innovation Hub New Client Intake Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"250943\" class=\"elementor elementor-250943\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"ob-is-breaking-bad elementor-section elementor-top-section elementor-element elementor-element-40e4f7c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"40e4f7c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ob_bbad_use_it&quot;:&quot;yes&quot;,&quot;_ob_bbad_sssic_use&quot;:&quot;no&quot;,&quot;_ob_glider_is_slider&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-413192d\" data-id=\"413192d\" data-element_type=\"column\" data-settings=\"{&quot;_ob_bbad_is_stalker&quot;:&quot;no&quot;,&quot;_ob_teleporter_use&quot;:false,&quot;_ob_column_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_column_has_pseudo&quot;:&quot;no&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d9a57db ob-harakiri-inherit ob-has-background-overlay elementor-widget elementor-widget-heading\" data-id=\"d9a57db\" data-element_type=\"widget\" data-settings=\"{&quot;_ob_use_harakiri&quot;:&quot;yes&quot;,&quot;_ob_harakiri_writing_mode&quot;:&quot;inherit&quot;,&quot;_ob_harakiri_text_clip&quot;:&quot;none&quot;,&quot;_ob_perspektive_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">EDCNS Innovation Hub New Client Intake Form<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-647a8c1 elementor-widget-divider--view-line ob-has-background-overlay elementor-widget elementor-widget-divider\" data-id=\"647a8c1\" data-element_type=\"widget\" data-settings=\"{&quot;_ob_perspektive_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;}\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ed8fa1d ob-has-background-overlay elementor-widget elementor-widget-shortcode\" data-id=\"6ed8fa1d\" data-element_type=\"widget\" data-settings=\"{&quot;_ob_perspektive_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;}\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-250934\"><form id=\"wpforms-form-250934\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"250934\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/250943\" data-token=\"d5478d94e8a00b18c439b93d1d3a65c8\" data-token-time=\"1734832156\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-250934-field_43-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"43\"><fieldset><legend class=\"wpforms-field-label\">The EDCNS Innovation Hub serves businesses in Midland, Penetanguishene, Tiny &amp; Tay.  Which Region are you Located in?<\/legend><ul id=\"wpforms-250934-field_43\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_43_1\" name=\"wpforms[fields][43]\" value=\"Midland\" aria-errormessage=\"wpforms-250934-field_43_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_43_1\">Midland<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_43_2\" name=\"wpforms[fields][43]\" value=\"Penetanguishene\" aria-errormessage=\"wpforms-250934-field_43_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_43_2\">Penetanguishene<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_43_3\" name=\"wpforms[fields][43]\" value=\"Tiny\" aria-errormessage=\"wpforms-250934-field_43_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_43_3\">Tiny<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_43_4\" name=\"wpforms[fields][43]\" value=\"Tay\" aria-errormessage=\"wpforms-250934-field_43_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_43_4\">Tay<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_0\">Company Name (If your company does not have a name yet, please type &quot;TBD&quot;.) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-250934-field_0\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][0]\" aria-errormessage=\"wpforms-250934-field_0-error\" required><\/div><div id=\"wpforms-250934-field_4-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_4\">Website \/ URL<\/label><input type=\"url\" id=\"wpforms-250934-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-250934-field_4-error\" ><\/div><div id=\"wpforms-250934-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Contact Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-250934-field_5\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][5][first]\" aria-errormessage=\"wpforms-250934-field_5-error\" required><label for=\"wpforms-250934-field_5\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-250934-field_5-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][5][last]\" aria-errormessage=\"wpforms-250934-field_5-last-error\" required><label for=\"wpforms-250934-field_5-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-250934-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_39\">Title <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-250934-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" aria-errormessage=\"wpforms-250934-field_39-error\" required><\/div><div id=\"wpforms-250934-field_6-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_6\">Phone<\/label><input type=\"tel\" id=\"wpforms-250934-field_6\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][6]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-250934-field_6-error\" ><\/div><div id=\"wpforms-250934-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_1\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-250934-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" aria-errormessage=\"wpforms-250934-field_1-error\" required><\/div><div id=\"wpforms-250934-field_7-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Address<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-250934-field_7\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][7][address1]\" aria-errormessage=\"wpforms-250934-field_7-error\" ><label for=\"wpforms-250934-field_7\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-250934-field_7-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][7][address2]\" aria-errormessage=\"wpforms-250934-field_7-address2-error\" ><label for=\"wpforms-250934-field_7-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-250934-field_7-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][7][city]\" aria-errormessage=\"wpforms-250934-field_7-city-error\" ><label for=\"wpforms-250934-field_7-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-250934-field_7-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][7][state]\" aria-errormessage=\"wpforms-250934-field_7-state-error\" ><label for=\"wpforms-250934-field_7-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-250934-field_7-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][7][postal]\" aria-errormessage=\"wpforms-250934-field_7-postal-error\" ><label for=\"wpforms-250934-field_7-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-250934-field_7-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][7][country]\" aria-errormessage=\"wpforms-250934-field_7-country-error\" ><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-250934-field_7-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-250934-field_48-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_48\">Type of Company based on NAICS Code<\/label><select id=\"wpforms-250934-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\"><option value=\"11 Agriculture, forestry, fishing and hunting\" >11 Agriculture, forestry, fishing and hunting<\/option><option value=\"21 Mining, quarrying, and oil and gas extraction\" >21 Mining, quarrying, and oil and gas extraction<\/option><option value=\"22 Utilities\" >22 Utilities<\/option><option value=\"23 Construction\" >23 Construction<\/option><option value=\"31-33 Manufacturing\" >31-33 Manufacturing<\/option><option value=\"41 Wholesale trade\" >41 Wholesale trade<\/option><option value=\"44-45 Retail trade\" >44-45 Retail trade<\/option><option value=\"48-49 Transportation and warehousing\" >48-49 Transportation and warehousing<\/option><option value=\"51 Information and cultural industries\" >51 Information and cultural industries<\/option><option value=\"52 Finance and insurance\" >52 Finance and insurance<\/option><option value=\"53 Real estate and rental and leasing\" >53 Real estate and rental and leasing<\/option><option value=\"54 Professional, scientific and technical services\" >54 Professional, scientific and technical services<\/option><option value=\"55 Management of companies and enterprises\" >55 Management of companies and enterprises<\/option><option value=\"56 Administrative and support, waste management and remediation services\" >56 Administrative and support, waste management and remediation services<\/option><option value=\"61 Educational services\" >61 Educational services<\/option><option value=\"62 Health care and social assistance\" >62 Health care and social assistance<\/option><option value=\"71 Arts, entertainment and recreation\" >71 Arts, entertainment and recreation<\/option><option value=\"72 Accommodation and food services\" >72 Accommodation and food services<\/option><option value=\"81 Other services (except public administration)\" >81 Other services (except public administration)<\/option><option value=\"91 Public administration\" >91 Public administration<\/option><\/select><\/div><div id=\"wpforms-250934-field_28-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">Social Media - Which Does Your Company Use?<\/legend><ul id=\"wpforms-250934-field_28\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Facebook\" aria-errormessage=\"wpforms-250934-field_28_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_28_1\">Facebook<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_28_2\" name=\"wpforms[fields][28][]\" value=\"Instagram\" aria-errormessage=\"wpforms-250934-field_28_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_28_2\">Instagram<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_28_3\" name=\"wpforms[fields][28][]\" value=\"LinkedIn\" aria-errormessage=\"wpforms-250934-field_28_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_28_3\">LinkedIn<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_28_4\" name=\"wpforms[fields][28][]\" value=\"X\" aria-errormessage=\"wpforms-250934-field_28_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_28_4\">X<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_28_5\" name=\"wpforms[fields][28][]\" value=\"YouTube\" aria-errormessage=\"wpforms-250934-field_28_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_28_5\">YouTube<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_28_6\" name=\"wpforms[fields][28][]\" value=\"Tik Tok\" aria-errormessage=\"wpforms-250934-field_28_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_28_6\">Tik Tok<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_28_7\" name=\"wpforms[fields][28][]\" value=\"Other\" aria-errormessage=\"wpforms-250934-field_28_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_28_7\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_11\">Facebook Page<\/label><input type=\"text\" id=\"wpforms-250934-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-250934-field_11-error\" ><\/div><div id=\"wpforms-250934-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_10\">Instagram Page<\/label><input type=\"text\" id=\"wpforms-250934-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-250934-field_10-error\" ><\/div><div id=\"wpforms-250934-field_14-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"14\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_14\">LinkedIn Page<\/label><input type=\"text\" id=\"wpforms-250934-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-250934-field_14-error\" ><\/div><div id=\"wpforms-250934-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_12\">X Handle<\/label><input type=\"text\" id=\"wpforms-250934-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-250934-field_12-error\" ><\/div><div id=\"wpforms-250934-field_29-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_29\">YouTube<\/label><input type=\"text\" id=\"wpforms-250934-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-250934-field_29-error\" ><\/div><div id=\"wpforms-250934-field_31-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"31\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_31\">Tik Tok<\/label><input type=\"text\" id=\"wpforms-250934-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-250934-field_31-error\" ><\/div><div id=\"wpforms-250934-field_30-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"30\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_30\">Other(s)<\/label><input type=\"text\" id=\"wpforms-250934-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-250934-field_30-error\" ><\/div><div id=\"wpforms-250934-field_32-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"32\"><fieldset><legend class=\"wpforms-field-label\">What Stage is Your Company? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-250934-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_32_1\" name=\"wpforms[fields][32]\" value=\"Concept\" aria-errormessage=\"wpforms-250934-field_32_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_32_1\">Concept<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_32_2\" name=\"wpforms[fields][32]\" value=\"Startup\" aria-errormessage=\"wpforms-250934-field_32_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_32_2\">Startup<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_32_3\" name=\"wpforms[fields][32]\" value=\"Growing\" aria-errormessage=\"wpforms-250934-field_32_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_32_3\">Growing<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_32_4\" name=\"wpforms[fields][32]\" value=\"Established\" aria-errormessage=\"wpforms-250934-field_32_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_32_4\">Established<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_16-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"16\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Have you made your first sale? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-250934-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\" aria-errormessage=\"wpforms-250934-field_16_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_16_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\" aria-errormessage=\"wpforms-250934-field_16_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_16_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_41\">Number of Employees<\/label><input type=\"text\" id=\"wpforms-250934-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-250934-field_41-error\" ><\/div><div id=\"wpforms-250934-field_35-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-hide wpforms-field-select-style-classic\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_35\">Revenue<\/label><select id=\"wpforms-250934-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\"><option value=\"Under $100,000\" >Under $100,000<\/option><option value=\"$101,000-$500,000\" >$101,000-$500,000<\/option><option value=\"$501,000-$1,000,000\" >$501,000-$1,000,000<\/option><option value=\"$1-5 M\" >$1-5 M<\/option><option value=\"$5-10 M\" >$5-10 M<\/option><option value=\"$10 M +\" >$10 M +<\/option><\/select><\/div><div id=\"wpforms-250934-field_40-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"40\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Concept Stage - Information and Advice Requested  - Select Up to 3<\/legend><ul id=\"wpforms-250934-field_40\" data-choice-limit=\"3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"General Business Startup Information\" aria-errormessage=\"wpforms-250934-field_40_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_1\">General Business Startup Information<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Cash Flow &amp; Financial Statements\" aria-errormessage=\"wpforms-250934-field_40_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_2\">Cash Flow &amp; Financial Statements<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Startup Expenses\" aria-errormessage=\"wpforms-250934-field_40_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_3\">Startup Expenses<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Importing\/Exporting\" aria-errormessage=\"wpforms-250934-field_40_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_4\">Importing\/Exporting<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Ecommerce\" aria-errormessage=\"wpforms-250934-field_40_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_5\">Ecommerce<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Market Research\" aria-errormessage=\"wpforms-250934-field_40_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_7\">Market Research<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Marketing Plan &amp; Strategy\" aria-errormessage=\"wpforms-250934-field_40_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_6\">Marketing Plan &amp; Strategy<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Social Media\" aria-errormessage=\"wpforms-250934-field_40_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_8\">Social Media<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"HST &amp; Taxes\" aria-errormessage=\"wpforms-250934-field_40_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_9\">HST &amp; Taxes<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Sources of Financing\" aria-errormessage=\"wpforms-250934-field_40_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_10\">Sources of Financing<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Business Plan Development\" aria-errormessage=\"wpforms-250934-field_40_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_11\">Business Plan Development<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_14\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Business Plan Review\" aria-errormessage=\"wpforms-250934-field_40_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_14\">Business Plan Review<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_13\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Growth Strategies\" aria-errormessage=\"wpforms-250934-field_40_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_13\">Growth Strategies<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Digital Main Street Program\" aria-errormessage=\"wpforms-250934-field_40_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_12\">Digital Main Street Program<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_15\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Summer Company Program\" aria-errormessage=\"wpforms-250934-field_40_15-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_15\">Summer Company Program<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_17\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Daily Operations\" aria-errormessage=\"wpforms-250934-field_40_17-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_17\">Daily Operations<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_16\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Hiring\" aria-errormessage=\"wpforms-250934-field_40_16-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_16\">Hiring<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_18\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Summer Company Plus Program\" aria-errormessage=\"wpforms-250934-field_40_18-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_18\">Summer Company Plus Program<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_19\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Networking\" aria-errormessage=\"wpforms-250934-field_40_19-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_19\">Networking<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_40_20\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"Intellectual Property\" aria-errormessage=\"wpforms-250934-field_40_20-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_40_20\">Intellectual Property<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_45-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"45\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Startup Stage - Information and Advice Requested  - Select Up to 3<\/legend><ul id=\"wpforms-250934-field_45\" data-choice-limit=\"3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"General Business Startup Information\" aria-errormessage=\"wpforms-250934-field_45_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_1\">General Business Startup Information<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Cash Flow &amp; Financial Statements\" aria-errormessage=\"wpforms-250934-field_45_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_2\">Cash Flow &amp; Financial Statements<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Startup Expenses\" aria-errormessage=\"wpforms-250934-field_45_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_3\">Startup Expenses<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Importing\/Exporting\" aria-errormessage=\"wpforms-250934-field_45_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_4\">Importing\/Exporting<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Ecommerce\" aria-errormessage=\"wpforms-250934-field_45_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_5\">Ecommerce<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Market Research\" aria-errormessage=\"wpforms-250934-field_45_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_7\">Market Research<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Marketing Plan &amp; Strategy\" aria-errormessage=\"wpforms-250934-field_45_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_6\">Marketing Plan &amp; Strategy<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Social Media\" aria-errormessage=\"wpforms-250934-field_45_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_8\">Social Media<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"HST &amp; Taxes\" aria-errormessage=\"wpforms-250934-field_45_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_9\">HST &amp; Taxes<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Sources of Financing\" aria-errormessage=\"wpforms-250934-field_45_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_10\">Sources of Financing<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Business Plan Development\" aria-errormessage=\"wpforms-250934-field_45_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_11\">Business Plan Development<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_14\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Business Plan Review\" aria-errormessage=\"wpforms-250934-field_45_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_14\">Business Plan Review<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_13\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Growth Strategies\" aria-errormessage=\"wpforms-250934-field_45_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_13\">Growth Strategies<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Digital Main Street Program\" aria-errormessage=\"wpforms-250934-field_45_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_12\">Digital Main Street Program<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_15\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Summer Company Program\" aria-errormessage=\"wpforms-250934-field_45_15-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_15\">Summer Company Program<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_17\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Daily Operations\" aria-errormessage=\"wpforms-250934-field_45_17-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_17\">Daily Operations<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_16\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Hiring\" aria-errormessage=\"wpforms-250934-field_45_16-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_16\">Hiring<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_18\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Summer Company Plus Program\" aria-errormessage=\"wpforms-250934-field_45_18-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_18\">Summer Company Plus Program<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_19\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Networking\" aria-errormessage=\"wpforms-250934-field_45_19-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_19\">Networking<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_45_20\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Intellectual Property\" aria-errormessage=\"wpforms-250934-field_45_20-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_45_20\">Intellectual Property<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_47-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"47\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Growth Stage - Information and Advice Requested  - Select Up to 3 <\/legend><ul id=\"wpforms-250934-field_47\" data-choice-limit=\"3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"General Business Startup Information\" aria-errormessage=\"wpforms-250934-field_47_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_1\">General Business Startup Information<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Cash Flow &amp; Financial Statements\" aria-errormessage=\"wpforms-250934-field_47_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_2\">Cash Flow &amp; Financial Statements<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Startup Expenses\" aria-errormessage=\"wpforms-250934-field_47_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_3\">Startup Expenses<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Importing\/Exporting\" aria-errormessage=\"wpforms-250934-field_47_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_4\">Importing\/Exporting<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Ecommerce\" aria-errormessage=\"wpforms-250934-field_47_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_5\">Ecommerce<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Market Research\" aria-errormessage=\"wpforms-250934-field_47_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_7\">Market Research<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Marketing Plan &amp; Strategy\" aria-errormessage=\"wpforms-250934-field_47_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_6\">Marketing Plan &amp; Strategy<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Social Media\" aria-errormessage=\"wpforms-250934-field_47_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_8\">Social Media<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"HST &amp; Taxes\" aria-errormessage=\"wpforms-250934-field_47_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_9\">HST &amp; Taxes<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Sources of Financing\" aria-errormessage=\"wpforms-250934-field_47_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_10\">Sources of Financing<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Business Plan Development\" aria-errormessage=\"wpforms-250934-field_47_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_11\">Business Plan Development<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_14\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Business Plan Review\" aria-errormessage=\"wpforms-250934-field_47_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_14\">Business Plan Review<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_13\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Growth Strategies\" aria-errormessage=\"wpforms-250934-field_47_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_13\">Growth Strategies<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Digital Main Street Program\" aria-errormessage=\"wpforms-250934-field_47_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_12\">Digital Main Street Program<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_15\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Summer Company Program\" aria-errormessage=\"wpforms-250934-field_47_15-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_15\">Summer Company Program<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_17\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Daily Operations\" aria-errormessage=\"wpforms-250934-field_47_17-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_17\">Daily Operations<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_16\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Hiring\" aria-errormessage=\"wpforms-250934-field_47_16-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_16\">Hiring<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_18\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Summer Company Plus Program\" aria-errormessage=\"wpforms-250934-field_47_18-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_18\">Summer Company Plus Program<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_19\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Networking\" aria-errormessage=\"wpforms-250934-field_47_19-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_19\">Networking<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_47_20\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Intellectual Property\" aria-errormessage=\"wpforms-250934-field_47_20-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_47_20\">Intellectual Property<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_44-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"44\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Established Stage - Information and Advice Requested  - Select Up to 3<\/legend><ul id=\"wpforms-250934-field_44\" data-choice-limit=\"3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"General Business Startup Information\" aria-errormessage=\"wpforms-250934-field_44_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_1\">General Business Startup Information<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Cash Flow &amp; Financial Statements\" aria-errormessage=\"wpforms-250934-field_44_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_2\">Cash Flow &amp; Financial Statements<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Startup Expenses\" aria-errormessage=\"wpforms-250934-field_44_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_3\">Startup Expenses<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Importing\/Exporting\" aria-errormessage=\"wpforms-250934-field_44_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_4\">Importing\/Exporting<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Ecommerce\" aria-errormessage=\"wpforms-250934-field_44_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_5\">Ecommerce<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Market Research\" aria-errormessage=\"wpforms-250934-field_44_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_7\">Market Research<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Marketing Plan &amp; Strategy\" aria-errormessage=\"wpforms-250934-field_44_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_6\">Marketing Plan &amp; Strategy<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Social Media\" aria-errormessage=\"wpforms-250934-field_44_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_8\">Social Media<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"HST &amp; Taxes\" aria-errormessage=\"wpforms-250934-field_44_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_9\">HST &amp; Taxes<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Sources of Financing\" aria-errormessage=\"wpforms-250934-field_44_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_10\">Sources of Financing<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Business Plan Development\" aria-errormessage=\"wpforms-250934-field_44_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_11\">Business Plan Development<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_14\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Business Plan Review\" aria-errormessage=\"wpforms-250934-field_44_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_14\">Business Plan Review<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_13\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Growth Strategies\" aria-errormessage=\"wpforms-250934-field_44_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_13\">Growth Strategies<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Digital Main Street Program\" aria-errormessage=\"wpforms-250934-field_44_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_12\">Digital Main Street Program<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_15\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Summer Company Program\" aria-errormessage=\"wpforms-250934-field_44_15-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_15\">Summer Company Program<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_17\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Daily Operations\" aria-errormessage=\"wpforms-250934-field_44_17-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_17\">Daily Operations<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_16\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Hiring\" aria-errormessage=\"wpforms-250934-field_44_16-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_16\">Hiring<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_18\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Summer Company Plus Program\" aria-errormessage=\"wpforms-250934-field_44_18-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_18\">Summer Company Plus Program<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_19\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Networking\" aria-errormessage=\"wpforms-250934-field_44_19-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_19\">Networking<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-250934-field_44_20\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Intellectual Property\" aria-errormessage=\"wpforms-250934-field_44_20-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_44_20\">Intellectual Property<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_21\">How did you hear about the Innovation Hub?<\/label><input type=\"text\" id=\"wpforms-250934-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-250934-field_21-error\" ><\/div><div id=\"wpforms-250934-field_18-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">Do you want to be added to the Innovation Hub&#039;s email list to keep updated with events, workshops and news? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-250934-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-250934-field_18_1\" name=\"wpforms[fields][18]\" value=\"Yes\" aria-errormessage=\"wpforms-250934-field_18_1-error\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_18_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_18_2\" name=\"wpforms[fields][18]\" value=\"No\" aria-errormessage=\"wpforms-250934-field_18_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_18_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-250934-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-250934-field_8\">Additional Comments or Questions<\/label><textarea id=\"wpforms-250934-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-250934-field_8-error\" ><\/textarea><\/div><div id=\"wpforms-250934-field_24-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"24\"><div id=\"wpforms-250934-field_24\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-250934-field_24-error\"><h4><strong>Notice of Collection - Please Read:&nbsp;&nbsp;<\/strong><\/h4>\n<div class=\"control survey-div form_common_class fieldtype_content vf__paragraph\" id=\"paragraph_764888497\">\n<div>The feedback we provide is not to be taken as legal advice. The Innovation Hub of North Simcoe assumes no liability for any actions you take as a result of feedback and comments. We do not sign Non-Disclosure Agreements because disclosure of your information is governed by the Municipal Freedom of Information and Protection of Privacy Act, S.O. 1990, c. M 56. Personal information on this form is collected in connection with the administration of counselling services to small businesses operating or proposing to operate in the region of North Simcoe in accordance with s.108 of the Municipal Act, 2001, S.O. 2001, C.25. It may also be used to communicate with you on other initiatives, programs and services that the Innovation Hub may make available from time to time. Your business contact information may be shared with the Province to participate in a voluntary survey for program and service delivery feedback.<\/div>\n<div><\/div>\n<\/div>\n<div class=\"control form_common_class fieldtype_checkbox_uniform vf__optional\">\n<p>Please check the box below to acknowledge you have read the full notice of collection.<\/p>\n<\/div>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-250934-field_25-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">I acknowledge and agree with the above statement. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-250934-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_25_1\" name=\"wpforms[fields][25]\" value=\"Yes\" aria-errormessage=\"wpforms-250934-field_25_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_25_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-250934-field_25_2\" name=\"wpforms[fields][25]\" value=\"No\" aria-errormessage=\"wpforms-250934-field_25_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-250934-field_25_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"250934\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/pages\/250943\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-250934\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/www.edcns.ca\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>EDCNS Innovation Hub New Client Intake Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-250943","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/pages\/250943","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/comments?post=250943"}],"version-history":[{"count":20,"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/pages\/250943\/revisions"}],"predecessor-version":[{"id":251019,"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/pages\/250943\/revisions\/251019"}],"wp:attachment":[{"href":"https:\/\/www.edcns.ca\/wp-json\/wp\/v2\/media?parent=250943"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}