Service Inquiry Intake Form

Here’s where we can put an introduction if you want a separate form for intakes and regular contacts.

Inquiry Intake Form

Additional fields in Contact for managing help inquiries.

Name(Required)
First Last
Name of Business
Email(Required)
Phone
Address
Street Address Address Line 2 City State ZIP Code
Thank you for sharing full information. It will allow us to respond more quickly/fully.
How did you find out about us?
- Website
- Friend/Family/Colleague referral
- Social Media: LinkedIn, Facebook, etc.
Describe your cooperative/cooperative idea:
What primary need is/will be fulfilled by the cooperative?
What type of services/assistance are you seeking from Cooperative Development Services? Choose all that apply.
- General info about co-ops
- Startup guidance
- Business plan creation
- Articles and/or bylaws creation
- Assistance with converting an existing business to a cooperative
- Financial projections and/or proforma creation
- Training for Board of Directors/Staff/Members
- Fiscal sponsorship
- Grant writing
Are there others involved in this effort?
Please feel free to provide any additional information you feel would be helpful.
Would you like to receive our monthly newsletter?
- Yes
- No
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Name
First Last
Email
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997 Ticonderoga Trail
Eagan, MN 55123
(651) 265-3678

Inquiry Intake Form

Thank you for sharing full information. It will allow us to respond more quickly/fully.