District Project Fund Application

DISTRICT PROJECT FUND APPLICATION
District 6220

Submit the following information and add any additional information that will assist the District Project Committee in their consideration of your application.

A Description of the Project: Project Total Cost: $ (provide a detailed budget) Funds Requested from the District Project Fund: $ Source of the matching funds:
Club(s):
Contact Person:		Home Phone
Address		Work Phone
City, State, Zip		Email address
Please print a copy before submitting the application. Application may be submitted online or mailed to: Kim Herlache, 1125 S. 19^th Place, Sturgeon Bay, WI 54235.