Florence Civic & Business Association
Dear FCBA Member,

We are in very uncertain times and while some businesses in and around Florence are okay, many are very slow or even closed completely. The FCBA is very concerned about the vitality of local businesses and the long-term impact that COVID-19 will undoubtedly have on our community. We need the results of this assessment to better understand the short and long-term challenges of our members, so that we can develop a plan to assist.

*Please fill out ALL of the contact fields below. Communication is vital as we move forward and the FCBA will keep your information private.
Sign in to Google to save your progress. Learn more
Email *
Have you already applied for State and/or Federal loan or grant money?
Clear selection
Do you need help figuring out what you should apply for from the Government and what’s available to you
Clear selection
What type of business are you?
Are you currently:
Clear selection
What is the greatest challenge for your business today?
If the FCBA were to offer zero interest loans or grants to its members, would you be likely to apply?
Clear selection
If your business has not been impacted, would you be willing to make a donation to a relief fund benefitting FCBA member businesses?
Clear selection
Business Name
Contact Person
Business Phone
Cell Phone
Webpage
Do you have any talents or resources you can share with our members?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy