Client Intake Form

Register with us by filling out the form below.

Eagles' Landing Trading Post/Tigua Business Center Client Intake Form

Please fill out this form as thoroughly as possible and provide the requested attachments. Thank you!

Read and agree to the following before submitting this form. By submitting this form, you are agreeing to the following:

I request business advice service. I agree to cooperate should I be selected to participate in surveys designed to evaluate services.
I permit the use of my name and address for YDSP surveys and information mailings regarding products and services [ X] Yes [ ] No
I understand that any information disclosed will be held in strict confidence—said information including but not limited to confidential and
proprietary information in any form whatsoever, including oral, written and machine readable form. We will not provide your information to
commercial entities, unless you authorize. I authorize YDSP to furnish relevant information to the assigned Department of Economic
Development Team. I further understand that DED agrees not to 1) recommend goods or services from sources in which he/she has an
interest, and 2) make business decisions for client. I waive all claims against DED and YDSP personnel, resource partners and host
organizations, arising from this assistance.