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Business Assistance Fund - Application Questionnaire

The Chamber Executive Committee will review all applications and make recommendations. Please complete/submit the following.
Affirmation and Signature
All information submitted on this application shall be kept confidential. I affirm that all information on this application is complete and true and that I have authority to submit on behalf of the applicant’s company. No information has been withheld which would affect my application unfavorably. I understand that misrepresentation can result in disqualification of my application.