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New Hampshire Business Resource Center


Ocean National Bank
Energy Efficiency Business Loan Pre-qualification Form

Thank you for your interest in the Ocean National Bank Energy Efficiency Business Loan program.

Answer a few quick questions, click submit, and we'll contact you shortly.

NOTE: The information you submit will remain confidential and will only be reviewed
by the NH Business Resource Center and Ocean National Bank.

Boxes highlighted in red are required fields necessary to process your form.
1. I am interested in determining my eligibility for the following:
 
Business Needs:

2. Business Information:
  Borrower Salutation:
  First Name:
  Last Name:
  Title:
  Company:
  Business Tax I.D. #:
  Street Address:
   
  City:
  State:
Zip:
  Mailing Address:
   
  City:
  State: Zip:
  Business Phone (XXX)XXX-XXXX:
  Mobile Phone (XXX)XXX-XXXX:
  Fax (XXX)XXX-XXXX:
  Website:
  Email:
  Description of Business:
  Date Business Started (DDMMYYYY):
  Present ownership since (DDMMYYYY):
  Organized in what State:
  Country:
  Total Employees:
  Primary product or service:
  List any affiliated companies:

3. Loan Requested:
  Loan Amount Request ($):
  Type of Energy Improvement:
  Utility Supplier Company Name:

If you should have any questions, please contact the Business Resource Center at 271-2591.