SPECIAL PROJECT SEED MONEY
APPLICATION FORM

The completed form must be received 20 days prior to a WORD Board of Directors meeting.  Mail to Bernadette Lewis, 13471 Old Naches Hwy., Naches, WA 98937

Council and others responsible for project:

Financial status of local council (amount of money in your treasury)

Purpose of this project:

Project date & time:

Location:

Type of Project:

Amount requested: $

Describe how the money will be spent:

Chairperson:_{_____________________________________________}

   _{Address:_________________________________________________}

   _{Phone: (H) _______________________(W) ____________________}

    _{email address_____________________________________________}

 _{Proposal form submitted by:}

_{Name:_____________________________________________________}

_{Address:___________________________________________________}

_{Phone: (H) ________________________(W) _____________________}

_{email address_______________________________________________}