1.  Date _____________________________________________________________

2.  Name, address and description of the organization 
	
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3.  Contact person(s) 	
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4.  Phone and fax numbers, e-mail address of the organization and contact person(s) 

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5.  A statement summarizing the purpose and activities of the organization 

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6.  A statement summarizing the proposal  (in lay terms please)

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7.  The dollar amount being requested and the total project budget 

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