FI PARTICIPATION FORM
Complete all portions of this form that you are interested in. When finished, e-mail to blackindustry@excite.com
Click here to see Registered Participants.
(Application
for the FI *Partnership
& Administration)
(*Partners will be of
Black-African descent.)
Your Name:
Ethnicity:
Age:
Contact Info:
Position(s) Desired (select one or more): *Partnership #1 #2 #3 #4 #5 #6 * Administration #1 #2 #3 #4 #5 #6
Your Current Major Occupation:
Skills/Certification/Education:
References (give 3 or more):
For Partnership Candidates--Give
an essay on what you have done to help the Black populace and some specific
Black-advancement plans you have conceived that you would want FREEDOM to
enact:
Registration for Industrialists:
For industrial entities who produce goods/services or are marketers and/or shippers who wish to participate in the FI process.
Your Name:
Your Position:
Business Name:
Ethnicity of Business Owner(s):
Percentage of Business that is Black-Owned:
Contact Info:
Type of Business:
Business Capabilities:
Equipment your Business Possesses:
Plans for Expansion (future equipment desired; future products/services you wish to offer):
Do you wish to be considered for FI no-interest loans?:
Registration
for Inventors/Creators
(For
those wishing to use FI production and/or **marketing
for their goods and/or services.)
(**FI would pay 10%
royalties on all products/services it produces and markets, and a
negotiable fee just for marketing.)
Your Name:
Contact Info:
Nature of Your Invention/Creation (examples: bicycle gear system, higher-emission/lower-energy light bulb, better baby diapers):
Do you already have intellectual protection or will you desire FI to acquire it for you?:
If you have performed a marketing survey, what were the results?:
Do you desire FI production, marketing, or both?:
Customer
Registration
(For those wishing to purchase FI-made
products and/or services.)
Your name:
Contact Info:
Types of frequently used simple products you'll buy in good quantities from FREEDOM:
Percentage of your retail expenditures you will spend with FREEDOM when it becomes fully capable of providing all simple, as well as sophisticated, products and/or services: