The 3/50 Project

The 3/50 Project Supporters

(International version)

Please complete the information below to be kept up to date on what’s happening with The 3/50 Project, as well as be listed on the Supporters page.

4 important notes:

1. Do not re-register if you don’t see your name on the Supporters page
Duplicate listings are thrown out by the software used to process registrations.
Please follow the steps at the very top of the Contact page.

2. One location per form
If you have multiple locations, you’ll need to fill out multiple forms.

3. Register using a desktop or laptop computer---not a mobile device
Google Docs does not process submissions coming from mobile devices. Weird, but true.

4. Don't skip required questions
Incomplete forms aren't forwarded to us...gotta touch all the bases.

Thank you!

® © The 3/50 Project LLC and TM © LookLocal; all rights reserved.
Website and graphic design by Cinda Baxter

All fields marked with an asterisk * are required.

Your first name *

Your last name *
Please do not sign someone else up on their behalf since there are opt-in questions below.

Business name *

Where is your business located?
First line: The street address for the doorway customers use
Do not enter suite number, unit number, mail-only addresses, property name (ex: Williams Mall), or intersection (First and Maple). Those items go in the next field.

Business address line 1 *

Business address line 2
If you want/need to add a suite number, unit number, or property name, it goes here (ex: Suite 2B, Williams Mall):

City *

Country *

If in Canada, please select a province or territory:

State / Province / Territory

Postal code *

Email *
Please click here to see the list of emails we are not able to use

Website http://

Phone *

Tell us about yourself

Please describe your company or organization *

What is your organization doing to actively promote The 3/50 Project? *

How did you hear about The 3/50 Project? *

And last but not least....

Include me in email updates *

I have read and agree to the Terms of Use *
Yes

*Employment statistics courtesy
U.S. Labor Department 2/6/09 report;
68/43 stats courtesy Civic Economics

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