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Personal Information

Race*
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Business Information

Minority Owned*
Woman Owned*
Veteran Owned*
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Additional Information

Please select your preferred appointment time on December 20th. 
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Previous Wacif Relationship*
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Attestation

The Enterprising Women of Color DMV Business Center is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

 

 

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By clicking submit below, you consent to allow Wacif to store and process the personal information submitted above to provide you the content requested. Submission of this electronic form does not constitute a loan application. The intent of the form is to guide future conversations with Wacif team members regarding a specific financing request.