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Hometown Civitan Club & Hometown Charities, Inc.

charity, fundraising

Electronic Project Request Form

Hometown Civitan Club & Hometown Charities, Inc.
Member Project Request

Submitted by:

Date:

Email of Submitter

Phone Number of Submitter

Benefitting Charity/Organization:

Charity Designation

501(c)(3)

501(c)(4)

Other (Describe)

Charity Designation Description

Contact Name/Phone Number

Project Name

Proposed Project Start Date

Project Duration

Project Objective (Reason for doing the project/what it will accomplish)

Brief Description of the Project (Email any additional supporting documentation or information, including cost estimates)

Project Source of Monetary Support:

HCC/HCI

SPONSOR

FUNDRAISER

Volunteer Resources (Include number, time and duties)

Thanks for submitting!

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