Grant Application To The Vandalia-Butler Foundation

Please complete the following information:

Organization Name: 

Street Address: 

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Telephone:  ()     Alternate Telephone:  ()     FAX:   ()

E-Mail Address:      Web Site: 

Contact Person:  Mr.   Mrs.   Ms.  Miss    

Contact Person Title:      Telephone:  ()

Alternate Contact Person:  Mr.   Mrs.   Ms.  Miss    

Alternate Contact Person Title:        Telephone:  ()

Is your organization recognized as tax-exempt under Section 501(c)(3) of the Internal Revenue Code?  Yes    No

       If no, please explain:
      

Project Title: 

Amount Requested:  $      Total Project Budget:  $

Duration of Project: 

Project Summary (Please summarize your proposal in the space provided.  Include brief, but specific, information about the who, what, when, where, why and how of your project):

Please review all your information before clicking 'Submit Application'