University of Michigan – Economic Growth Institute

Ann Arbor, MI 48104

University of Michigan – Economic Growth Institute

Ann Arbor, MI 48104

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I. FIRM INFORMATION

Firm's Legal Name

Address

Website

Firm's Primary Product

Current Fiscal Year Revenue (Projected)

Prior Fiscal Year Revenue

Current Employee Count

Prior Fiscal Year Employee Count

II. OWNERSHIP AND CONTACT INFO

Company Rep. Name and Title

Email

Phone

III. DMAP ASSISTANCE

How did you hear about us? (Internet Search, Referral, Outreach)

What type of Defense Manufacturing Assistance does your company seek?

Community Rep. Name

Title

Organization

Address

Telephone

Email

What impacts are you seeing in your community as a result of defense draw-down?

What is your specific community economic development need?

How did you hear about us?

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