Laurel Garden Club Highlands
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                                  Laurel Garden Club Grant Request

1. Name of Organization:     ______________________________________________________

2. Contact information:

Contact Person__________________ email ___________ phone _______

Address____________________________________
 
Federal I.D. Number ____________________  501c(3) Yes / No


3. Organization Mission Statement: 


_______________________________________________________4. Describe the project for which funding is being requested:
  
______________________________________________________

______________________________________________________


______________________________________________________

______________________________________________________

5. Total project cost: ______________________________________________________

6. Amount being requested from LGC: ______________________________________________________

7. How will the Community benefit from this project? 


______________________________________________________

______________________________________________________

______________________________________________________

______________________________________________________


8. Attach plant list, bids quotes and rendering: (see LGC Guidelines for Grants #2)


9. What is your estimated time line for this project? ____________________


______________________________________________________


10. List funds, grants and pledges currently available for this project.


______________________________________________________


______________________________________________________


11. How will the project be maintained after completion?


_______________________________________________________


12. Please provide a copy of your organization's financial statement and budget.


13. What fundraisers if any, does your organization sponsor and where do the profits go? ____________________________________________________


14. How many people does your organization employ? _____________________
 
Signature: ____________________________ Date: ____________


for more information go to laurelgardenclubhighlands.com

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