Does your business need a loan or grant?

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Regional business support organizations are partnering to collect information from businesses in Coos, Curry and Douglas Counties to assess the impact of SBA programs (EIDL and PPP) in the region. Information gathered will allow partners to gauge the need for further lending or grant options for private businesses.

If you are a business owner, please fill out the form below. Your information will be held confidentially.

For more information please contact Shaun Gibbs, Executive Director, South Coast Development Council, Inc. at Shaun@scdcinc.org.

Email *

What County is your business located in? *

Coos

Curry

Douglas

Other

Required

Did your business apply for SBA funding such as the EIDL or PPP? *

Yes, my business applied for the EIDL.

Yes, my business applied for the PPP.

No, my business did not apply.

My business is currently applying for funds.

Required

Did your business receive funding from the SBA programs, such as the EIDL or PPP? *

Yes, my business received funding from the EIDL.

Yes, my business received funding from the PPP.

No, my business did not receive funding from either SBA program.

My business has not heard from SBA about approval of funding.

Required

Does your business need more funding? *

Yes

Maybe - we will follow up with you via email.

Required

Owner name and business name? *

Phone number

Can we follow up with you via email or phone? *

Yes

Additional needs we should be aware of or questions/comments?

Send me a copy of my responses.

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