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Technical and Business Assistance (TABA) Provider Information Form

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First Name

Last Name

Organization or Company

Title or Role

Email Address

Confirm email

Website URL

What types of TABA services do you provide?

��(Select all that apply)

��Commercialization strategy development

��Technology and IP landscape analysis

��Customer discovery

��Business model development

��Financial modeling or pricing support

��Techno economic analysis

��Regulatory guidance

��Technical advising (specify expertise)

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You selected “Technical advising,” please specify area(s) of expertise

Brief description of your TABA services

Which industries do you primarily support?

��(Select all that apply)

Estimated costs for your provided TABA services you provided above

Additional pricing notes

Are you currently available to accept new clients?

��Yes

��No

��It depends...

Is there anything else you'd like teams considering applying for SBIR/STTR to know about your TABA services?