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The following step-by-step outline will aid in completing Form 641.
1. . Print full name of the individual)s) requesting counseling.
2.   Give telephone and FAX number including area code(s).
3.   Print E-mail address including Internet Service Provider.
4-8.   Print complete address as indicated. Please include Postal ZIP Code.
9-14.   Mark all boxes as appropriate.
15.   Describe the business function(s) for which you are seeking counseling. Some examples of such functions are Business Planning,Marketing, Sales, Financial Management, Insurance and Legal Structure. If you are not currently in business then describe the business which you wish to start. If you need more room write on a separate sheet and include with the completed Form 641.
16.   Mark all Boxes as appropriate.
17.   Describe the business you are currently running. This description taken together with the listing in Section 15 of your counseling needs will enable us to assign the most qualified SCORE Counselor to your request.
18.   Print the name of your company. Leave blank if you are not already in business.
19.   Give length of time that your company has been in business. Leave blank if you are not already in business.
20.   Indicate preferred date(s) and time(s) for the first appointment with SCORE counselor.
Please read the three (3) paragraphs at the bottom of Form 641 and then please sign, date and return the completed form by mail or FAX.