Potential Partner Inquiry

Name of Organization/Company *

Business Type *

Organization's Street Address *

Organization's Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Website:

Your Full Name *

Your Phone Number *

Is this a Minority-Owned Business? *

True

False

Is this a Women-Owned Business? *

True

False

Who referred you to the Grand Rapids Center for Community Transformation (GRCCT)?

What partnership level are you interested in: *

Comment box - Is there anything else you'd like us to know.