Casino Entertainment Project News

Project Partners

Community Partners Profiles

GLT Commitment to the Community

The Truth About Gaming

Vendor Opportunities

Employment Opportunities

---

Primary Contact
First Name:
Middle Initial:
Last Name:
Title:
Phone:	( ) Ext:
Fax:	( )
Email:
Secondary Contact
First Name:
Middle Initial:
Last Name:
Title:
Phone:	( ) Ext:
Fax:	( )
Email:
Business
Business Name:
Address Line 1:
Address Line 2:
City:
State / Province:
Zip / Postal Code:
Country:
Phone:	( )
Fax:	( )
Mailing Address
Same As Above:
Address Line 1:
Address Line 2:
City:
State / Province:
Zip / Postal Code:
Country:
Business Details
Legal Name:
Website URL:
Tax ID#:
Business Started:	(MM/YYYY)
Number of Employees:
Corporate Status:	Incorporated Partnership Sole Proprietor Other:
State Incorporated in:
Stock Symbol:	Exchange:
Nature of the Business:
Products and Services
Check all that apply:	Accounting
	Construction and Development
	Beverage
	Facility maintenance products and services
	Finance
	Food
	Human Resources
	Information Technology
	Logistics
	Marketing & Advertising
	Office products and supplies
	Printing
	Promotional
	Real Estate
	Security
	Telecommunication
	Training
	Transportation
	Other:
General product / service description:
What differentiates your company from your competitors?
North American Industry Classification System (NAICS) Code(s):	1.
	2.
	3.
	4.
	5.
	6.
	7.
	8.
	9.
Is your corporation currently a member of any of the following organizations? Check all that apply:	Allegan Chamber of Commerce
	Barry County Chamber of Commerce
	Dorr Business Association
	Grand Rapids Chamber of Commerce*
	Gun Lake Chamber of Commerce
	Kalamazoo Chamber of Commerce
	Wayland Chamber of Commerce
Is your company a Native-American owned business?	Yes No
The person submitting this form (i) declares to be authorized to act on behalf of the business and submit this form on behalf of the business, (ii) certifies that the information provided in this form is current, accurate and complete as of the date of this submission, and (iii) acknowledges that Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians (Gun Lake Tribe) will be relying on this information.