Small Business Micro-Grant Application

If you no not have an EIN -Please use "0"
Business Location /Mailing Address(Required)
Lebanon County is the business organizations:(Required)
Business Structure(Required)
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Business Contact(Required)
Business Industry Classification-Please select the business industry classification.(Required)
Optional Information: Business Ownership Diversity
The information collected is for informational purposes only. The response(s) will not be utilized as part of the scoring/award selection process.

Micro-Grant Category Request(Required)
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    Applicant Acceptance of Terms/Responsibilities

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