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Contact Information
Organization Name
*
Your name (or best contact)
*
First Name
Last Name
Email
*
Verify Email
*
Organization website
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Cell Phone
Work Phone
*
Supporting HFL Federal Furlough Loan Program
HFL will provide legal documents including all terms of your organization's loan to HFL.
My organization is interested in:
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A loan to HFL to support the Federal Furlough program
A donation to HFL to support the Federal Furlough program
We are not sure yet, please follow up
We cannot support at this time
Amount of Support
*
Please indicate the amount you are willing to donate or lend to HFL to support the Federal Furlough program
$25,000
$18,000
$10,000
$7,500
$5,000
$3,600
$1,800
I am not sure yet
Other
Comments or Questions?