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Employer Account Form Company Information Employment Agency: *  Company Name: *  Address 1: Address 2: *  City: *  State: (Please select a state) AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY   *  Zip Code: *  Phone 1: Phone 2: Fax Number: *  Email Address:     Company WebSite:   *  Contact First Name: *  Contact Last Name: *  Password:   *  Confirmation Password:

This page is brought to you by a cooperative effort of the: Economic Development Council / Manatee Chamber of Commerce • P.O. Box 321•222 10th Street W Bradenton, FL 34206-0321•Phone: (941)748-3411 • Email: mailto:Jobs@ManateeEDC.com Economic Development Corporation of Sarasota County 2601 Cattlemen Road, Suite 201 Sarasota, FL 34232 • Phone: (941) 309-1200 • Email: Info@EDCSarasotaCounty.com Suncoast Workforce Board 3660 N. Washington Blvd. Sarasota, FL 34234 • Phone: (941) 358-4080