CCI Loan Inquiry Form

Borrower Name*
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Best Contact Phone Number*
Best Contact Email*
Enter Email Confirm Email
Name of Business (If established)
Business Location
Street Address Address Line 2 City State ZIP Code
County where business is located
Business Status (check one)
- Start-up
- Established
Type of Business (Industry)
Has a Business Plan been prepared?
- YES
- NO
How much money would you like to borrow?
How much money do you have to invest in the project?
OPTIONAL: Would you apply as a Disadvantaged Business Enterprise (woman, veteran, disabled, or minority-owned)?
- YES
- NO
How did you hear about our loan programs?*
Comments/Special Instructions:
Phone
This field is for validation purposes and should be left unchanged.

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