Attendance And Participant Good Faith Estimate Page 9

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APPLICANT INFORMATION (SEE THE PREVIOUS PAGE FOR DEFINITIONS BEFORE COMPLETING APPLICATION)
Sponsoring Organization Name
Are you a non-profit corporation?
YES
NO
If yes: 501c(3)
501c(6)
Tax ID #
Applicant Name
Title
Organization Address
Apartment/Unit #
City
State
ZIP
Phone
E-mail
Fax
Cell
On-Site Contact
Title
Street Address
Suite/Unit #
City
State
ZIP
Phone
E-mail
Fax
Cell
Emergency Contact
Phone
E-mail
Fax
Cell
OTHER CONTACTS
Media Contact
(if different from applicant)
Phone
E-mail
Please list any professional event organizer, event service provider, or commercial fund-raiser hired for this project.
Organization Name
Contact Name
Street Address
Suite/Unit #
City
State
ZIP
Phone
E-mail
Organization Name
Contact Name
Street Address
Suite/Unit #
City
State
ZIP
Phone
E-mail
Updated December 23, 2011
8

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Parent category: Business