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NCL Grant Application (2019)
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Your Full Name: *
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Organization Name: *
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Org's Federal ID #: *
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Affiliation: *
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Best Phone No.: *
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Amount Requested ($): *
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Check Made Payable to: *
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Address for Payment: *
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Intent for Funds: *
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Benefit to Community: *
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Other Contributing Organizations: *
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Funds Date: *
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If NCL is Unable to Fund: *
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Contact for Questions: *
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