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Application for Charitable and Non-Profit Support
Applications for 2009 must be submitted by November 1, 2008.
Applications received after this date will not be eligible for 2009.
Initiatives approved for support will be notified by February 1, 2009.
Date
Date:
Organization
* Organization Name:
* Address:
* City, State, Zip:
* Contact Name:
* Contact Title:
* Phone Number:
• Email Address:
Requested Support
• Amount Requested:
* Type of support requested:
Monetary
Advertisement or Promotion
Products and Services
Organization Background
Background information on the charity or non-profit organization, who it benefits, and the geographic area it serves:
Initiative Description
Description of the program or project, including the community need it fulfills:
Other Comments
Please tell us about any other reasons this initiative should be considered for support:
* Required Information
© 2002-2008
Hagadone Printing Company
274 Pu‘uhale Road, Honolulu, HI 96819
Phone 808.847.5310 : Fax 808.841.0094 : Neighbor Islands 800.491.4888
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