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Date of Birth*

E-mail Address*

Your Phone Number*

Your Home Address*

What City/State Do You Currently Reside in?*

Your Business Name

Is Your Business Registered With LLC?

Describe Nature of Business

Grant Type

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I agree, that all information provided are correct, submitted by me

I agree, that Small Business Aid Grants can have access to my information and can use them for the purpose of this grant application process.

I Agree to pay the processing fee ($150 - $250) once my application is approved for funding or any other fee that may be associated with this grant application.

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Small Business Aid Grants is a privately owned company which continues to help small and medium scale business owners and entrepreneurs pursue the American dream.

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