GO Virginia Retooling Initiative Application

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Company Information

Primary Point of Contact

Company Situation

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What products would you target as a Supplier (click all that apply)

Terms and Conditions

All program benefits are delivered as services.

At company's request, a proposal for service will be prepared for consideration.

Company cost share for services will equal 10% cash (non-refundable) upon acceptance. Program will bear remainder.

I am authorized to execute this application on behalf of my company.

Please enter your initials here to act as your signature.
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