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    LETTER OF INQUIRY
    Complete all fields before submitting
    (Please use text only, no bullets or numbering)
    Institution Name*
    Ruling Year*
    Street*
    City*
    State*
    Zipcode*
    Phone xxx-xxx-xxxx Ext xxx*
    Fax xxx-xxx-xxxx
    Website
    Brief Statement of your Institution's Work and Mission* (text only)
    Indicate the Total Amount Given by Corporate, Community, and Private Foundations of $5,000 or More in the Last Fiscal Year * (text only)
    Total Budget*
    (Current Fiscal Year)
    Contact Person*
    Contact (Position/Title)*
    E-Mail Address
    Type of Funding Request*
    Type of Support Requested*
    If Program - Brief Description and Name of Proposed Project to be Funded. What Need(s) Will it Address?" (text only)
    If Program - Statement of the Total Amount Raised for the Program to Date and a Summary of the Fundraising Plan. Include Itemized List of Donations (text only)
    Expected Outcomes or Results (text only)
    Geographic Area(s) Served*
    Population Served*
    Age Group Served*
    If Program - Total Budget*
    Total Amount Requested*

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