I Have Questions

*Company Name:
*Your Name:
*City:
*State:
*Office Phone:	() -Second partThird part
Cell Phone:	() -Second partThird part
*Email Address:
*Did a BBE member refer you to the Barter Business Exchange?:	No Yes
If yes, please list their name and company name:
*I am working with a BBE Employee:	No Yes
If yes, please enter the employee's name:
*Describe the goods and services that your company will offer for 100% barter: