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The Co-operative Investment Fund
Loan Application / Investment Request
Legal Name Of Organization
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Primary Contact Name & Title
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Address Of Organization
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Phone
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Cell Phone
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Email
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Website URL
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Type Of Entity
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Co-operative Enterprise
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Type Of Business
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Date Of Incorporation
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Month
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ED's/CEO's/President's Name
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Are you a member of a co-operative association?
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If "Yes", please list them:
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