DISTRICT PROJECT FUND APPLICATION

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
Work Phone
Address
City
State
Zip
Email address