Business Name:
    Point of Contact:
    Address:
    City:
    State:
    Zip Code:
    Phone:
    Fax:
    Email:
    Please indicate the basis of the success story and provide the applicable information:
    1. Based on procurement/contract award?

    2. Based on procurement /contract issue?
    YesNo
    PLEASE DESCRIBE THE ISSUE(S) THE MPTAP ASSISTED YOUR COMPANY IN RESOLVING.
    3. How many jobs were generated or rerained as a results of the MPTAP's Assistance?
    4.(i) The MPTAP is authorized to publish the content of the success on its website and /or other literature.
    YesNo
    4.(ii) I attest that the success story is true and that the success resulted from substantial effort from the MPTAP.
    YesNo