Does your business need a loan or grant?
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 address *
What County is your business located in? *
Required
Did your business apply for SBA funding such as the EIDL or PPP? *
Required
Did your business receive funding from the SBA programs, such as the EIDL or PPP? *
Required
Does your business need more funding? *
Required
Owner name and business name? *
Your answer
Phone number
Your answer
Can we follow up with you via email or phone? *
Additional needs we should be aware of or questions/comments?
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy