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Grant Request - Letter of Inquiry

2. Organization Information

4. Name*

5. Federal Tax ID Number*

7. Mailing Address*

9. City*

10. State*

11. Zip Code*

13. Phone Number*

14. Fax Number

15. Email Address*

17. Website*

19. Primary Contact*

20. Title*

22. Phone Number*

23. Email*

27. Request Type*

    1. Project Grant Request

    1. Promotional Activity Grant Request

    1. Community Event Grant Request

29. Project Title*

30. Total Funding Requested*

32. Project Description*

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field