Hermanowski Family Foundation Initial Request Form

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Organization Name: MyName
Legal Name (if Different): MyName
Also Known As: John
Mailing Address: hsjyorii@dont-reply.me
City: John
State: TestUser
Postal Code: Alice
Main Phone: MyName
Main Fax: MyName
Organization Website: MyName
Employer ID Number: John
Organization Tax Status: MyName

Proposal Information

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Today’s Date: MyName
Requested Amount: Hello

Project Title: MyName
Project Description:

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Total Project Budget: John

Other Funding
Sources For The Project (Committed & Potential): Hello

Project Duration: TestUser
Geographical Area Served: John
Age Group To Be Served: Hello

Contact Information

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Contact Prefix (Mr,Mrs etc.): MyName
Contact First Name: MyName
Contact Last Name: John
Contact Title: John
Contact Phone: Hello
Contact Email: hsjyorii@dont-reply.me