FBA Chapter Activity Fund

If you have any questions regarding this application, please contact Melissa Stevenson, chapters and circuits manager at (571) 481-9100.

Go to printable version. View Chapter Activity Fund Request Guidelines.

Chapter Applying:

Chapter Size: Circuit:

Amount of Grant Sought:

Purpose of Grant:


Program/Event/Activity Information

Title

Proposed Date Proposed Place

Proposed Budget (costs, admission charges, etc.)
Detail activity to be funded
   

Contact Person for more information:

Address:

Telephone: Fax: Email:

Detail specific use of requested grant:
Has the Chapter done this before Yes. No. If yes, when?

Was it successful? Explain:

Has your Chapter ever received a grant before this program? Yes. No.

Detail fundraising efforts from sources other than CAF:

Detail other sources of funds that will be used for designated program/event/activity:


Chapter Contacts

Chapter President and Chapter Treasurer

 Name  Name
 Address  Address
 City State Zip  City State Zip
E-mail E-mail
Daytime Phone
Fax Number
Daytime Phone
Fax Number



fba@fedbar.org


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