Brownsville, TX 78520
ph: 9564664993
info
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Las Huellas Donation/ Gift Application
Please complete all sections of the application. The deadline for submission is April 1.
Section 1 – Personal Information
Name:
| Organization |
Title | Tax I.d Number |
Contact Information
| Permanent address:
|
| Phone:
|
Amount Requested $ | |
Email address:
| |
Section 2 – Organization Information
Name of Organization __________________________________________________________________
Exempt Status _______
Primary beneficiaries of service__________________
Section 3 –Activities and Interests
A. Please Describe your organizations Activities
Section 4 – Short Essays
Maximum word count: 250 per question. Please attach essays to application.
A. What is the activity for which you are requesting funds from Las Huellas? How does this aid conservation efforts?
B. Please describe the specific activities in which the Las Huellas funds will be used.
email applications to:
Copyright 2011 Las Huellas. All rights reserved.
Brownsville, TX 78520
ph: 9564664993
info