CAMF Business Directory Profile Form

Please download and complete the Green form below and mail to:

Rev. Donna Hall

Attn: CAMF Biz Directory

PO Box 653

Lansing, IL 60438

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Please circle all that apply

•  I am a Business owner

•  I’m interested in starting a Business 

•  I’m interested in Entrepreneur Mentorship Training

Please PRINT all information below.

First Name: ___________Last Name _____________  

Contact Phone (      )                          Church/Organization Name _____________________

Name of Your Business/Company _________________

Business Mailing Address:                                                            

City ____________ State ____ Zip Code________ 

Bus. Phone (      ) __________ Fax (      )  __________

Email:                                Web Site:                                    

What kind of Product/Service does your Business offer?                                                                          

How long in business?             

Type of Market you service?                                                                        

Business Issues/Challenges you’d like to see addressed?                                                                      

Would you like to be placed on our CAMF Mailing list?  YES   or   NO