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Business Directory
Lifting up Small Businesses in Edison NJ Grant Program
You must be a business located in Edison to be considered for a grant. If you are not, your application will not be considered. This form must be submitted before December 6, 2024, at 5:00 pm.
Date
*
Format: MM/dd/yyyy
Applicant Name
First Name
*
Last Name
*
Business Name (Include DBA if applicable)
*
Business Address
Your address must be in Edison to be considered for a grant.
Address Line 1
*
Address Line 2
City
*
State
*
Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Zip/Postal Code
*
Business Email
*
Business Phone Number
*
Business Type
*
Are you an LLC, S Corp, C Corp, 501c3, etc?
Business EIN Number
*
Business Ownership
*
Please list the names of all the owners of the business, and their percentages of ownership.
Business Description
*
Please describe your business and the products or services it offers.
How Many Employees Do You Have?
Business Website (if applicable)
Business LinkedIn (if applicable)
Business Facebook (if applicable)
Business Instagram (if applicable)
Business Twitter (if applicable)
Grant Use
*
Please specify how your business will utilize the grant money.
Upload Supporting Documentation
*
Please provide your business bio.
Upload Supporting Documentation
*
Please provide your business logo.
Upload Supporting Documentation
*
Please provide a headshot of the business owner(s).
Upload Supporting Documentation
*
Please provide a photo of the exterior of your business.
Notes for Edison Chamber use only