2020 Grant/TRO Application Database

Acknowledged application

Name of Voting Entity

First name

Last name

Checklist Elected Delegate

Select or enter value

When did Voting Entity send delegate in the past?

Any delegates from your VE received a Grant/TRO?

Select or enter value

Email Address

Street Address

Street Address 2

City

State

Zip

Country

Phone # (with area code = country code)

Voting Entity Address

Voting Entity City

Voting Entity State

Voting Entity Zip

Voting Entity Country

Voting Entity Email

Voting Entity Website

Voting Entity Phone Number

Have you been elected as delegate?

Signature

Send me a copy of my responses

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