To request services or more information from the Pacific Business Center, please complete and submit the following online form.
Someone will contact you within two weeks.
Business/Organization name:
Your First & Last Name:
Your Position with Business/Organization:
Your Street Address:
Your City, State, & Zip Code : ,
Your Country: please select one United States American Samoa Chuuk Kosrae Pohnpei Yap Marshall Islands Palau CNMI Samoa Other Your Phone & Work Fax Numbers (please include area code): Best Times to call: Mornings Afternoons Evenings Anytime Your Email Address: Please tell us about your organization/business. Assistance is being requested for? an individual business non-profit or not for profit organization government agency or organization Is at least 51% of the business owned by a woman? yes no n/a The owner's ethnicity is best described by: please select one American Indian or Alaska Native Asian Black/African American Hispanic Native Hawaiian Pacific Islander White Other If other ethnicity, please type in box to right How old is your business/organization? less than one year one to five years more than five years not in business yet How many employees do you employ in your business/organization? 1-4 5-9 10-19 20-99 100-499 500 or more no employees yet What were/was your gross sales/operating budget in the previous fiscal year? $0-20,000K $20,001-50,000 $50,001-100,000 $100,001-200,000 greater than $200,001 What industry is your business/organization in? Agricultural services, forestry, fishing Construction industries, and subdividers & developers Finance, Insurance, and Real Estate Industries (excluding subdividers, and developers) Mineral Industries Manufacturing Wholesale Trade Retail Trade Service Industries Tourism Transporation, communications and utilities Other industry, please type in box to right
Your Phone & Work Fax Numbers (please include area code):
Best Times to call: Mornings Afternoons Evenings Anytime
Your Email Address:
Is at least 51% of the business owned by a woman? yes no n/a
How old is your business/organization? less than one year one to five years more than five years not in business yet
How many employees do you employ in your business/organization? 1-4 5-9 10-19 20-99 100-499 500 or more no employees yet
What industry is your business/organization in? Agricultural services, forestry, fishing Construction industries, and subdividers & developers Finance, Insurance, and Real Estate Industries (excluding subdividers, and developers) Mineral Industries Manufacturing Wholesale Trade Retail Trade Service Industries Tourism Transporation, communications and utilities Other industry, please type in box to right
What types of assistance are you seeking from PBCP? Please check all that apply. Business Plan Feasibility Plan Financial Planning/Analysis Information Research Marketing Operations Analysis Seminar/Workshop, please list topics here Strategic Plan Supplier ID Other assistance being requested, please name here
Additional Comments/Information:
Submit form to send a request for more information or other assistance.
Mahalo (thank you) and have a nice day!
