AID REQUEST FORM: Prospect Heights Small Business Relief
Small businesses are being hit hard by mandatory closures right now. In response, we have started a solidarity fund to support small business owners and workers in our Prospect Heights neighborhood.

Your regular clientele would love the opportunity to chip in to help cover running costs and lost wages during this difficult time. We are asking those who live in the area to consider donating the amount they would usually be spending at local businesses—or more if they can.

We are acting locally in the hopes of maximizing aid. This is a grassroots effort and a small fund based on trust. We hope to help in any way we can!

If you are a business owner/worker requesting to RECEIVE funds, please fill out this form indicating some basic info about your job or business.

[If you would like to donate, please email phsmallbusiness@gmail.com]

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Email *
Your Name *
Do you own a business or work at a small business in Prospect Heights? *
Name of your business *
Type of business *
Required
Address of Business *
Phone Number of Business
Number of Employees
Number of Employees you've had to let go because of the crisis
Please tell us more information about your situtation
If you are a WORKER: please be as specific as possible about the losses you're facing now. Are you still receiving wages? How much monthly income do you expect to lose?
Do you offer gift cards or other ways your neighbors can support you directly? Advance tickets to a re-opening party? Gift cards for friends? We can share the link.
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