Funding Request Form - Grimshaw, AB

Legal Name of Organization *

Name (Contact for Organization) *

Title *

Daytime Phone *

Email *

Amount Requested *

What is the purpose of your organization? *

Where are your organization's activities held? *

What is the purpose for the funding request? *

How will the Town be recognized for its contributions? *

How will Town residents benefit from this funding? Please give an estimate of how many people from Town will be participating. *

Have you asked for and/or received funds from other sources and/or municipalities? Please list the sources, amounts asked for, and how much has been received. *

Attach Budget with Revenue & Expenditures *

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

Please note that if this form is not completed in full, your funding request to Council may be denied.