Contact Form
Tell us a bit more about you and your company so we can get a better idea of how we can help.

We are a group of financial professionals offering free service to companies trying to respond to the Covid-19 crisis. Please understand that we'll do our best but we won't be able to help every business. Our immediate priority is helping companies access SBA loans under the "PPP" loan program passed by Congress.

If you are a business that could use this type of assistance, please submit the information below*.

*By submitting this form, you agree that your information will be privately shared with the administrators of the database and volunteers for the purpose of matching you with help. The information and guidance provided through the COVID-19 Finance Assistance Network (the “Network”) is being provided on a pro-bono basis. The Network is not a substitute for, and does not replace, the advice or representation of a licensed financial professional or attorney. The use of the Network does not create an advisor-client or attorney-client relationship between the organizers of the Network or any entity or person associated with the Network, including its volunteers. The Network’s organizers and volunteers are not to be held responsible for any pro-bono guidance or counsel given.
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Name (First, Last) *
Email *
Company Name *
Location (City, State) *
Revenue
Please list 2019 annual revenue. Estimates are fine.
# of employees
Total payroll in 2019
Do you currently have an SBA loan? If so, with what bank?
Skip if not applicable
Does your company have sufficient cash flow for 30 - 60 or more than 60 days?
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What type of help are you looking for?
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