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Community Grant Funding Application
Organization Name
Address
Contact Name
Telephone Number
Email
Fax
CRA Charitable Registration Number
Project Name
Description of Project
Funding Amount Requested
Waiving Fees or Service Charges
Township Staff Support
Township Equipment or Materials
Township Property or Facilities
Other
Deliverables of the project. Specify exactly what the project will deliver, including goals, objectives & measures of success.
Does the organization have any loans, deficits or other liabilities?
What other sources of revenue do you have? Please provide details.
What is the impact if grant funding is not provided by the Township of North Dumfries?
Please attach request for consideration on appropriate letter head from your organization.
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