Company
Salutation –None–Mr.Ms.Mrs.Dr.Prof.Hon.
First Name
Last Name
City
State/Province
Country
Phone
Email
Is the business 51% or more? –None–Minority OwnedVeteran OwnedWomen OwnedMBENon-Minority Owned
NAICS Industry –None–Agriculture, Forestry, Fishing and HuntingMining, Quarrying, and Oil and Gas ExtractionUtilitiesConstructionManufacturingWholesale TradeRetail TradeTransportation and WarehousingInformationFinance and InsuranceReal Estate and Rental and LeasingProfessional, Scientific, and Technical ServicesManagement of Companies and EnterprisesAdministrative and Support and Waste Management and Remediation ServicesEducational ServicesHealth Care and Social AssistanceArts, Entertainment, and RecreationAccommodation and Food ServicesOther Services (except Public Administration)Public Administration
Is business registered in State of MD? –None–YesNo
What county is the business located in?
What type of loan are you applying for? –None–LIFT Micro-Loan ($10,000 – $30,000)Catalyst Fund ($30,001 – $500,000)FLEX Line of Credit ($30,000 – $100,000) – CLOSED until further notice
Requested Loan Amount?
Last Year’s Annual Revenue: –None–Under $100,000$100,000+
Anticipated uses of funds
How did you hear about us?
