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Donations - Funding Application

General Information

Legal Name of Organization:
*
Name of Executive Director:
*
Address:
*
Contact Title:
*
Phone:
*
Fax:
*
E-Mail:
*

Total # of Board Members:
*
Total # of Staff:
FT: *  PT: *
Total # of Volunteers:
*
Total Annual Organization Budget:
*
Fiscal Year End:
*
United Way Affiliate?*
Yes  No
Do you have a Colonial Bank account?*
Yes  No
State Your Organization's Mission:*

About Your Proposal

Amount Requested:*

Project or Capital Budget: (If Applicable)

Make Check Payable To:*


 Type of Request:*

Relationship to Colonial Bank, FSB:*

Send Check to This Address:*
Summarize the Proposal:*


List the proposal's target population, constituents, and geographic communities:*


List any previous support from Colonial Bank, FSB in the last five years, and use of those funds:*


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