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TAG613 Grant Assistance Application Form
TAG613 is a one-man organization with limited funds, to help people in temporary, urgent need of assistance or a small financial gift.
Please fill out this form and we will see how we can best help you.
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Name
*
Last name
Your answer
Name
*
First name
Your answer
Email
*
Your answer
Phone number
*
Your answer
What specific assistance do you seek? (If it's funding, please specify for what purposes)
*
Your answer
If you are requesting funding, what is the amount you need at this time?
Your answer
How did you hear about us?
Your answer
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