Organization *

First Name *

Last Name *

Title

Email *

Phone

Website address

Social Media Addresses

Paragraph One *

In 500 words or less, tell us about your business. Please include your current status (operational or planning phase).

Paragraph 2 *

In 500 words or less, tell us what you would do with a $500 marketing grant to promote your business. 

E-signature *

My typed signature verifies I submit this application and confirm it is accurate. I agree that if I am awarded the $500 grant, I will submit receipts for marketing purchases upon request. 

Enter required value Other