Business Grant Application

The Chamber will award $500 to a small business. To qualify, you must meet these conditions:

Been in business for minimum three years
Been a Madison Heights / Hazel Park Chamber member for at least one year
Be able to match funds with private money

If you meet these qualifications, fill out the form here.

Please note that (*) indicates a required field
Business Name*
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Project Idea and Need*
What do you want to do and why do you want to do it.
Project Budget*
Written estimate:*
Project Time line - Start Date*
MM slash DD slash YYYY
Project Time line - Finish Date*
MM slash DD slash YYYY
About your business*
Brief Description and History of your Business
Comments
This field is for validation purposes and should be left unchanged.