Form Center

2. Business/Organization Name*
4. Business License Number*
6. Contact Person*
8. Mailing Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number*
16. Email Address*
18. Total Estimated Cost of Proposal(Attach Itemized budget)*
20. Source of Funding in Addition to Grant*
22. Time Frame of Implementation*
24. Purpose of Grant *
26. How Will This Proposal Benefit Fraser and Your Business*
28. Is this for COVID 19 updates*
    -- Select One --noyes
30. Supporting Documents
32. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
34. Electronic Signature
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field