Business Services Group

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Interest Form

Complete and submit this form to express

your interest in this program.

Business Name

Owner Contact Information

First Name

Last Name

Cell Phone

Country of Origin

Business Contact Information

Business Address

City

State

ZIP

Business Phone

Website

Business Information

Primary Business Activity

Number of Employees

EIN

Women Owned?

Veteran Owned?

Minority Owned?

Demographics

Is this a start-up?

Program Questions

Please provide a brief description of your business (max. 500 characters):

Are you interested in a discounted membership to Greater Nexus, a state-of-the-art co-working facility in Downtown Jamaica?

Business Open Year

If not yet opened, please put "2025"

Business Location Type

Estimated Current Annual Revenue

Are you willing to take actionable steps to grow your business?

How did you hear about us?

Who referred you to us?

Click the SUBMIT button to submit this form.