Appendix C: Business Locations

Appendix C: Business Locations

(Application for Approval as a Nonprofit Budget and Credit Counseling Agency)

Name of Agency:__________________________________________________________________

Contact Information: (To be posted on the United States Trustee approved list)

Address:

Telephone number:

Web address:

Business Locations:

List all business locations and include telephone number and business hours. In the last column, check the box if in-person counseling is available at the location.

ADDRESS (include street, city, county and state)	TELEPHONE NUMBER	BUSINESS HOURS	IN-PERSON COUNSELING AVAILABLE