Minnesota Society of Certified Public Accountants

1650 West 82nd Street, Ste 600
Bloomington MN 55431
Ph: 952-831-2707 Fax: 952-831-7875
www.mncpa.org

Small Business Advisory Day Small Business Registration Form

Name:
Business:
Email:
Phone:
How long has your business been open?:
Short-term goals:	What are your short-term goals and what can we do to help jump start them in the meeting?
Questions you want answered:	Please provide three to five questions you would like answered or topics you would like to discuss
Tax return:	Yes No Are you able to bring a copy of your prior year tax return?
Additional information:	Is there anything else your advisers should be aware of before your meeting?
Meeting time preference:	9 - 10:30 a.m. 10:30 a.m. - noon 1 - 2:30 p.m. 2:30 - 4 p.m. Select all that apply.
How did you hear about the event?:

Contact MNCPA Communications Coordinator Corey Butler at cbutler@mncpa.org or 952-885-5533.