Wyoming County Business Fast Track Program Registration

REGISTRATION DIRECTIONS

Complete the 'Registration Form' below with your details. To confirm the registration and secure your seat please pay the $50.00 deposit (non-refundable). You may send a check or easily pay now online with Allpaid in the confirmation email that you will receive. Please check your spam folder.

STEP 1: Complete the Registration Form

Registrant Information

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

Business Information

What stage is your business? *

Start-up (Concept to 1 year in business)

Early Stage (1 to 5 years in business)

Business Phone Number

Email Address

Please describe your business without sharing proprietary information or trade secrets

Is your business already established? *

Yes

If yes, please complete the following information.

Business Name

Business Address

City

State

Zip Code

Business Website URL

If No, please list the location where you would like to establish your business.

By submitting your registration you agree to the Terms and Conditions

Participant Code of Conduct

Photo, Video, Audio Consent and Release

For questions or to opt-out of the photo, video, and audio consent and release please contact Jennifer Tyczka at jtyczka@wycoida.org or 585-786-3764.

Security Check *