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Under $100 Charity Grant Request
Over $100 Charity Grant Request
Charity Grant Request Over $100
*
Organization name
*
Date
*
Contact Person
All requests MUST come from a current Omni
Tel
customer.
*
Title
*
Address
*
City
*
State
*
Zip
*
Telephone
E-mail
*
Check to be made out to :
*
1. Describe your organization and its purpose.
*
2. Describe the proposed project.
*
3.In which Omni
Tel
community is the event taking place?
Floyd
Greene
Little Cedar
Marble Rock
New Haven
Nora Springs
Plymouth
Rock Falls
Riceville
Rockford
Rudd
St Ansgar
Stacyville
McIntire
*
4. Please detail necessary supplies and costs.
*
5. Dollar Amount Requested.
*
6. Is this an annual project?
*
7. When is the event, or project to be completed?
Proof of completion is required within one month of the event
*
8. How will Omni
Tel
be recognized?
9. Omni
Tel
Grants are for non-profit organizations only. Please provide your Tax Exempt Number (schools, churches, scouts & county fairs do not need this information)
10. Projected Budget
I agree should my organization fail to complete the project within one calendar year, all monies will be returned to Omni
Tel
Communications.
IMPORTANT INFORMATION
Please note, grants are awarded quarterly in January, March, July and October only. Please apply for the grant the quarter prior to when the funds are needed. Requests have been maximized at $1,000 per each request to benefit civic organizations, $500 for non-civic groups, $250 to school activities and $250 for summer youth programs. It is unlikely that an individual or private group that does not include the community as a whole, will be awarded a grant.
* Required fields.
Under $100 Charity Grant Request
Copyrights 2005 by Omni
Tel
Communications