Capital Funding Request Form 
To request capital funding from New York State Assemblymember Alex Bores, kindly fill out the form below. A member of our staff will contact you via the phone number or email address you provide.

Capital funding supports one-time expenses for building, repairing, or purchasing a physical structure. To request programmatic funding, click here.

Capital funding decisions are made on a rolling basis. Please note that due to limited funding, we will not be able to fulfill every request.
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Organization Name *
Organization EIN Number  *
Contact Name  *
Contact Number  *
Contact Email  *
Project Description *
Total Estimated Project Cost *
Which other elected officials (city, state, elsewhere) have been asked for funding?

 *
How much public funding has been secured (this year or previous years)?  *
What percentage of the project will be spent within the district? *
Have you received funding from Assemblymember Bores' office previously? *
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