Intake Form

Thank you for your interest in the URA’s and InvestPGH’s business lending and support services! Tell us more about your startup or business and its financial needs by completing all of the fields below.

If you have any questions or comments not noted in the available fields, please note them in the "Other Comments" field. If you cannot complete a field, please type "N/A" in the field.

General Information

Reason for Contacting URA	Household Member (Please select "Primary")
Email Address	Phone Number
First Name	Last Name

Business Information

Business Name	Business Website	Company Name (Do Not Edit)
Complete Business Address	Business Registration
Business Industry	Business Stage
Do You Have a Completed Business Plan?

Loan Information

Loan Amount

Purpose of Funding

Other Information

Note: The information below is not required, but it will help us in understanding which loan programs may be best suited for your business, as well as our reporting to public and private funding sources.
If you choose to complete this section, we appreciate your response.

Pronouns	Gender
Race
How did you hear about the URA?	Other Comments

URA and InvestPGH staff will contact you within two to three business days.

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