Contact OCIA

We want to hear from you! Please use the form below to contact us regarding a business loan or a general inquiry.

Personal Information

First Name

Last Name

Applicant's Email

Applicant's Phone

Are you a current resident of Osage County?

Yes

Do you have plans to move your primary residence to Osage County?

Yes

When do you plan on moving your primary residence to Osage County?

What is your residential address?

Address Line 2

City

State

ZIP

Why are you contacting OCIA today?

General Inquiry

Small Business Loan

Contractor's Loan

Existing Business Loan (ABEL Program)

Business Information

Business or Company Name

Business Website URL

Business Street Address

Street Address Line 2

City

State

ZIP

Number of Years in Operation

Do you have a completed business plan?

Business Registration

What type of business?

Please specify "other"

Please describe your business.

Loan Information

What is the purpose of funding?

Funding Range

Funding Timeline

Additional Comments

Please include your comments, if necessary.

If you are human, leave this field blank.

Contact OCIA

Personal Information

Business Information

Loan Information

Additional Comments

Contact OCIA

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