Loan Inquiry

Our loan inquiry form has questions that will help us get to know you better and understand your vision for your business. Once completed, our Lending Team will get back to you. Please note, this is not a formal loan application and won't affect your credit. It is a pre-application form to understand if your business idea is something that aligns with what we at Region 10 can fund.

Operating Business Address

Physical Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Mailing Address

City

State/Province

Zip/Postal

About You

Primary Contact Name *

Phone *

Ownership Percentage %

Estimated Credit Score

705

Very Poor 300-579 · Fair 580-669 · Good 670-739 · Very Good 740-799 · Exceptional 800-850

How did you hear about us? *

Name of Bank, Credit Union or Lender

Name of Business Referral

Name of Region 10 Borrower

Name of Region 10 Staff or Board Member

Name of Chamber of Commerce or Trade Business Association

Name of Community Group

Name of Economic Development Office/Group Name of Economic Development Office/Group

Type of Event

Name of Event

Name of Friend or Family Member

What Print Media did you see us in?

Which Professional Advisor did you hear about us from?

Which SBDC referred you to us?

Where on Social Media did you find us? Where on Social Media did you find us?

Which Group or Message Board? Which Group or Message Board?

When you did a web search, what did you type in?

reCAPTCHA

If you are human, leave this field blank.

About Your Business

Operating Business Address

About You

145 S Cascade | Montrose, Colorado 81401 | Phone: (970) 249-2436 | admin@region10.net