Chief Super Markets Grant Application

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Community Grant Program
Grant Application

All fields are required.

Event Name
Event Date
Number projected to attend
Amount Requested
Please describe the primary function of your organization and the clientele it serves:

Please indicate breakdown of overall contribution dollars to this project:
%	to overhead operations
%	to benefit cause/constituents
Please describe why your organization is requesting a grant from Chief Supermarkets.

What other sponsors are involved?

If your organization is applying for sponsorship grants, please indicate what publicity is planned. Specifically what media will be utilized, and on what days. Will our logo be used, or our name only?

Supporting documentation (optional):	Attach your file(s) here: Submission total must be smaller than 5MB
Contact Name
Organization
Address
City	State Zip
Phone
Fax
Email