Equity Financing

Wednesday, February 20; 12:00 PM – 1:00 PM

The Law Lab at District New Haven
470 James St., Ste 15, New Haven, CT 06513

Please complete the form below: (Fields indicated with are required)*

Your Name

First Name *

Last Name *

Your Title

Business Name

Address *

Address 2 (optional)

City *

State *

Zip *

Daytime Phone *

Email *

Please provide the following demographics so we can better describe for our grant supporters the communities we serve. (Your information will be used in aggregate totals only.)

What is your gender?

The state of Connecticut defines low and middle income households as those with aggregate earnings below $112,600. Do you consider yourself to be part of this group?

Is the business you are associated with: (Check all that apply)
Minority-Owned Women-Owned Veteran-Owned

How long has the business you are associated with been in operation? (please enter 0 if not yet operating)

Number of Employees (please count yourself)

How did you learn about this event?

Select one *

I am a current CEDF loan client
I am a CT small business owner but not a CEDF client
I am interested in small business education topics but not a business owner
I am a guest of CEDF

Amount:	$0.00
Card Number:
Name on Card:
Verification #:
Expiration Date:	(MM/YYYY)
Billing Address:
City State Zip:
Billing Phone:

Equity Financing

Please complete the form below: (Fields indicated with are required)*

Referral Information

Credit Card Payment Information

Not sure which loan product meets your needs?

Equity Financing

Please complete the form below: (Fields indicated with * are required)

Referral Information

Credit Card Payment Information

Not sure which loan product meets your needs?

Please complete the form below: (Fields indicated with are required)*