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1% Grant Application

Date of Application

Business/Organization

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Number

Proposed Project

Project/Event Objective

Date of Project/Event

Total Project/Event Cost

Project/Event Objective

Other Sources of Funding

Proposed Budget (be specific)

How many visitors do you expect to attend this event?

How will this event be promoted?

Applicant First Name

Applicant Last Name

Applicant Email Address *

Applicant Signature

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