Small Business Recovery Center Pop Up REGISTRATION FacebookThis field is for validation purposes and should be left unchanged.General InformationName(Required) First Last Email(Required) Phone(Required)Business InformationBusiness Name(Required)WebsiteBusiness Address(Required) City ZIP / Postal Code IndustryMake A SelectionAgricultureAccommodationArts and EntertainmentConstructionConsultingEducation ServicesFinanceFood ServicesHealthcareInformation TechnologyManufacturingRetail TradeTransportationWholesale TradeBusiness Size(Required)Make a Selection1 (self-employed)2-1011-2021-100100+Years In Operation(Required)Please enter a number from 0 to 100.Is your business minority-owned, women-owned, veteran-owned, LGBTQ+ owned, or other? (OPTIONAL) Minority-owned Women-owned Veteran-owned LGBTQ+-owned Other Other:Disaster Recovery AssistanceHow did the Palisades Fires impact you?(Required) Physical damage Revenue loss Supply chain Workforce Other Describe ImpactEstimated Financial Impact(Required) Less than $5,000 $5,000-$50,000 $50,000-$100,000 $100,000-$250,000 $250,000-$500,000 More than $500,000 Not sure Did you receive assistance?(Required) Yes No From Whom? (check all that apply) Government Non-profit CDFI – Community Development Financial Institutions Community Bank Corporate Grant Programs (i.e., Verizon Grant Programs) Online lender Other Other:Financial Resources Needs(Required) Loans Grants Financial consultation Other SpecifyWhat Other Resources Does Your Business Need?Ecosystem SupportDo you have a primary organization (s) you go to for small business support? Yes No From whom?How did you find out about this event?(Required)Make a selectionLAEDCSocial MediaPartner OrganizationOtherHow? About this event FREE EVENT! Malibu Country Mart 3835 Cross Creek Road Malibu, CA 90265 When: August 7, 2025 Time: 9am to 12pm
