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Apply Now!
CHECK CRITERIA FIRST!
Please note, if selected for funding, 10% of award amount will be applied towards annual membership in the PFC Black Chamber!
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*Business Name |
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*Address |
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*City |
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*State |
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*Zip |
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*Office Phone |
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*Website |
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*Owner Firstname |
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*Owner Lastname |
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*Title |
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*Email |
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*Cell Phone |
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*How did you hear
about this opportunity? |
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*Number of Employees? |
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*Annual Revenue 2019? |
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*Amount Requesting? |
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*How many clients do you serve annually? |
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*What industry best describes your business? |
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*Are you a member of the PFC Black Chamber? |
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*What are the challenges you experienced during Covid-19? |
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*Have you received funding from PPP, EIDL or any other grants? How much and dates? |
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| * required field. |
