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Organization Name:
Organization Postal Code:
Organization Mailing Address:
Contact Phone Number:
Email Address:
Leadership:
Equipment & Materials:
Prizes:
Facility Rental:
Other:
Total Expenditures:
Budget comments and other details:
Attach supporting documents:
Evaluation: (Please provide details re: participation, success, suggestions...)
On behalf of the organization listed above, I/we hereby declare that all the information presented and/or provided with this application is true and correct.
