Community Grant Program - Community Markets

* Indicates fields that are required.

Event Name

Number projected to attend

Event Date

Commitment Deadline

Amount Requested

Please describe the primary function of your organization and the clientele it serves:

Please indicate breakdown of overall contribution dollars to this project:

To overhead operations

To benefit cause/constituents

Please describe why your organization is requesting a grant from Chief Supermarkets.

What other sponsors are involved?

If your organization is applying for sponsorship grants, please indicate what publicity is planned. Specifically what media will be utilized, and on what days. Will our logo be used, or our name only?

Supporting documentation (optional)

Submission total must be smaller than 5MB

Contact Name

Organization

Address

City

State

Zip

Phone

Fax