Main Street Newnan Brick and Click Grant Application

Main Street Newnan Brick and Click Grant Application

Today's Date*

Business Name*

Applicant Name*

Physical Address of Business*

Applicant Phone Number*

Applicant Email Address*

Please provide a link(s) to the product that you are seeking to submit for reimbursement*

Please provide an explanation of how you intend to use this technology*

Please explain how this product will expand or enhance the the services that you provide to customers*

If relevant, please provide an explanation of how local sales taxes are collected through this program

Please provide a link(s) to your product in use if you have already purchased this item*

Please specify the funding amount that you are requesting*

This is a matching grant up to $500. Grant recipients will be awarded 50% of the eligible expenses up to $500. Grant awards are issued as reimbursements for products that have been purchased.

Please provide a copy of your receipts for purchasing eligible product(s)*

Proof of purchase must include a reference to the business name, or applicant name, and verify that the product has been paid for in full.

Drag and drop files here or

Please provide the name of the person or business seeking reimbursement, and a mailing address.*

This is the information that we will use to reimburse your business if your request is awarded. We will send a check to the name and address provided.

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