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NEW CLIENTS INSTRUCTIONS

Please follow the instructions below before booking an appointment.

As you know, the Florida Women’s Business Center is funded in part through a grant from the SBA. A requirement of providing free to low cost services is that each individual receiving services completes and signs a 641 form. By completing this form, you are giving permission for us to interact and/or communicate with you while maintaining confidentiality. Your information is not shared.

STEP 1

Fill out the Mandatory Counseling Authorization Form (SBA 641)
  • Fill out, sign, and date the Counseling Authorization form (SBA 641)

If you are unable to sign, please type your name in the client signature field and click the use type name as signature checkbox field.


  • Your signature on the SBA 641 form provides permission to the FLWBC to discuss all aspects of your business while maintaining confidentiality. We cannot counsel or discuss aspects of your idea or business without a completed form.

  • Click below to download 641 form.

STEP 2

Send your Counseling Authorization Form (SBA 641) form using any of the following methods:


1. Scan & Email to This email address is being protected from spambots. You need JavaScript enabled to view it.


2. Fax to 561-808-8137


3. Take picture with phone and send to This email address is being protected from spambots. You need JavaScript enabled to view it.


4. Upload Picture or PDF File

STEP 3

Schedule an appointment based on your current business status.

Scheduled an appointment if you are currently running a business
SCHEDULED AN APPOINTMENT IF YOU ARE currently NOT running a business

SCHEDULED AN APPOINTMENT IF YOU ARE currently SEEKING MICROFUNDING (KIVA)