Orange County NC Website
Browse       Search
a <br /> SUBMISSION FORM FOR DEPARTMENT OF CULTURAL RESOURCES GRANTS PROGRAM . <br /> Please type or print clearly. Complete this page only . (You may reproduce this form on your word processor.) <br /> Your submission must be postmarked (or received at the proper address), no later than October 21 , 1999 . <br /> Submissions will not be accepted via fax. Submissions should be sent to : Donna Rosefield, Office of the <br /> Secretary, Department of Cultural Resources, 4601 Mail Service Center, Raleigh, NC 276994601 . <br /> 1 . PROJECT: <br /> LOCATION OF PROJECT: <br /> Street/Mailing Address Town Zip County <br /> 2 . LOCAL SPONSORING ORGANIZATION: <br /> Contact Person(s) Title : <br /> Address (Street Address , City/State/Zip) : <br /> Telephone (include area code) : Day. Evening : <br /> Fax: a-mail address : <br /> Project Coordinator (if not Contact Person) : Fax: <br /> Telephone (include area code) : Day Evening . <br /> 3 . AMOUNT REQUESTED : <br /> 4 . PROJECT DESCRIPTION AND ITEMIZED BUDGET: <br /> I, <br /> i <br /> I' <br />