Submit a Request

Home // Submit a Request

Submit a Request for Assistance

Assistance Request Form

First Name

Last Name

Title

Company Name

Phone

Fax

Address

City

County

State/Province

Zip/Postal Code

My company is located in New Mexico

Yes

My company is a small business (Per [US SBA guidelines])

Yes

My company is a for-profit business

Yes

Does your company pay/file gross receipts taxes to the State of New Mexico?

Yes

My company is U.S. owned and operated (Not foreign owned or controlled)

Yes

Is your company a subsidiary?

Yes

Describe the type of assistance needed:

Do you have a laboratory/contractor preference for this assistance request?

No Preference

Los Alamos National Labs (LANL)

Sandia National Labs (SNL)

New Mexico State University Arrowhead Center

New Mexico Tech

University of New Mexico Management of Technology Program

If you know of a laboratory/contractor employee who might be able to assist you with this request, please provide this person's name:

Company Category:

Agricultural and Natural Resources

Manufacturing

Media and Hospitality

Education Services, Health Care & Social Assistance

Oil & Gas, Utilities, Mining, Quarrying Construction

Professional, Scientific & Technical Services

Other Services (Except Public Administration)

Retail and Wholesale Trade, Transportation & Warehousing

Real Estate Rental & Leasing, Finance & Insurance, Mgt of Companies & Enterprises, Admin &Support, Waste Mgt & Remediation

Veteran Owned

Disabled veteran

Minority-Owned Business

African American-Owned Business

Asian American-Owned Business

Native American-Owned Business

How did you hear about the NMSBA program?

Please respond to the following: *

If you do not receive the copy or confirmation within two business days that your request has been received, please contact Sharon Evans at 505-845-9671.