Tap Room Hours
Mon - Sat, 11 - 6
Brewery Tours
Mon - Sat, 1,2,3 PM
Name of person completing this form
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Name of Organization
Is your agency a 501(c)(3) tax-exempt nonprofit organization?
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Mission Statement
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Project Contact's Name (Include Prefix, First Name, and Last Name)
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Project Contact's Phone Number (xxx-xxx-xxxx)
Name of Executive Director, if different than the Project Contact (Include Prefix, First Name and Last Name)
Name of project for which you are seeking funding
Amount Requested ($xxx)
Description of Project (LIMIT: 150 words. Please draft your text in Microsoft Word or another word processing program, and then use the Word Count feature to ensure that your response does not exceed the 150-word limit.)
Is there anything else you would like the grant review committee to be aware of?