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Revolving Loan Fund Application

2. Name*

   Enter the name of the entity applying for the loan.

4. Type of entity*
   -- Select One --BusinessIndividualNon-Profit OrganizationCommunity Organization
10. Contact Person
12. First Name*
13. Last Name*
15. Phone Number*
16. Email*
24. Project Name*
26. Project Description*
28. Explain how the project will support the revolving loan program goals (historical atmosphere, natural environment, cultural amenities, tourism).*
30. Explain how the borrowed funds will be spent.*
32. Project Cost*
34. Loan Amount Requested*
36. Term of Loan Requested*
42. Financial Information
    Provide financial information to demonstrate the ability to repay the loan or attach financial statements.
44. Financial Documents
46. Expenditure Projections
    Provide projections on the timing of expenditure of the borrowed funds. You may attach a file if you would prefer.
48. Projected Expenditures
50. Background Information*
    Provide information about the organization such as mission, history, products/services, customers.
56. For questions about this Application Form or the Revolving Loan Program, contact:
    Julie Ostrander, Director of Administration: 608-592-0717 or jostrander@wppienergy.org
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit Submit and Print

* indicates a required field