HEDIC Equipment Gap Financing Pre-Application Form

Business Name(Required)

Contact Name and Title(Required)

First Last Title

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Type of Business(Required)

Business Tax I.D.(Required)

Bank(Required)

The purpose of the Equipment Gap Financing Loan Program is to support the growth of Holyoke manufacturers including new jobs for Holyoke residents.

BUSINESS CURRENTLY EMPLOYS HOW MANY FULL-TIME WORKERS:(Required)

WILL NEW JOBS BE ADDED AS A RESULT OF THIS INVESTMENT?(Required)

Yes

IF YES, HOW MANY?(Required)

BRIEFLY DESCRIBE THE EQUIPMENT TO BE FINANCED AND EXPECTED COSTS(Required)

HOW WILL THE PROJECT BE FINANCED?(Required)

BANK LOAN:

HEDIC LOAN: $ (Limited to 30% of total project cost or up to $100,000, whichever is less.)

OWNER CONTRIBUTION:

OTHER:

TOTAL PROJECT COST:

Sign electronically by typing full name here

Date

Based on the information provided in this pre-application, applicants that meet the program criteria will be invited to submit a full application. Please refer to the Policies and Procedures document for detailed program guidelines. For questions or additional information, contact the HEDIC staff at (413) 322-5655.