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* 1. Name

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* 2. Email Address

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* 3. Business or Organization

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* 4. Has your co-op applied for an Emergency Injury Disaster Loan (EIDL)?

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* 5. Was your application successful?

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* 6. If your application was NOT successful, what was the reason?

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* 7. Has your co-op applied with a private lender for a Paycheck Protection Program (PPP) loan?

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* 8. Which lender did you use?

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* 9. Was your application successful?

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* 10. If your application was NOT successful, what was the reason?

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* 11. Please share any challenges you faced during the application process:

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* 12. Can we reach out to you to hear more about your experience?

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* 13. Additional Comments/ Concerns

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