Grant Application Part One

PLEASE NOTE:  There will be two parts of this application to complete and send.  The first part pertains to the group itself.  The second part pertains to the Greyhound in need of medical care.  Please make sure you send both parts of the application via email.  All required documentation and anything else that is necessary for application review, please fax, scan and attach to email and/or send a hard copy via postal mail.

Please email the following required documentation:  Grant Application, 501©(3) backup data, bank statements and/or annual statement, dated proof of possession, veterinarian report and estimate to:

Email:  Teri Rogo

Please also send hardcopy to:  GREYT Legs, P O Box 41566, Phoenix, AZ  85080

To verify your request has been received, you may call:

Teri Rogo, President of GREYT Legs at 623-322-0659 or 602-228-2594

 


Please provide the following information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

What is your 501c3 ID number?


What state is your 501c3 filed in?


Is your 501c3 in good standing?

Yes No


Copyright © 2004 GreytLegs.   All rights reserved.
Revised: November 08, 2008