Under $500.00 Grant Application

Name of person/Organization    
  State    Zip Code   
Website Address  
Phone Number  
Fax Number  
Contact Person regarding this application      
E-Mail Address    
Do you represent a IRS 501 (c) (3) not for profit organization?
If "NO" to the above question, is your organization a public agency/unit of governemnt?
If "YES" to the above question, please give your TAX ID#
Proposal information: (please write a summary of request in the box below) 
If you have any textual and or graphical information that would help to visualize/understand
the project/need for which this grant is being requested.  Please mail them to:
Attn: Dave Hoff
P.O. Box 78
Cottonwood, MN 56258