Community Grant Program - Chief Markets

Fields marked with an * are required

Event Name *

Event Date *

Number projected to attend *

Commitment Deadline *

Amount Requested *

Please describe the primary function of your organization and the clientele it serves: *

Please indicate breakdown of overall contribution dollars to this project:

To overhead operations *

To benefit cause/constituents *

Please describe why your organization is requesting a grant from Chief Supermarkets.

What other sponsors are involved?

If your organization is applying for sponsorship grants, please indicate what publicity is planned. Specifically what media will be utilized, and on what days. Will our logo be used, or our name only?

Supporting documentation (optional)

Contact Name *

Organization *

Address *

City *

US States *

Zip *

Phone *

Fax *

Email *