Small but Mighty Grant Application Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Website / URLAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you an Alameda Connects Member? *YesNoIf you are not an Alameda Connects Member you are not eligible to apply for this Small but Mighty Grant.Are you able to accept ACH (electronic deposit)? *YesNoIf you are not able to accept ACH, you are not eligible to apply for this Small but Mighty Grant.Is your organization or business a Non-profit? *YesNoIf your organization or business is a Non-profit you are not eligible to apply for this Small but Mighty Grant. 1. Please describe your proposal, including how you see this proposed project enhancing your business and/or commercial property. *2. Please describe how your proposal has the ability to benefit the Alameda Avenue corridor. *3. Please describe how your proposal has the ability to increase connection with the community along the Alameda Avenue corridor. *4. Please provide a cost estimate and timeline for your proposed project. *City of Lakewood Business License Number *If you do not provide a current City of Lakewood Business License Number you are not eligible for this Small but Mighty Grant. If you do not sell products in your store please submit your City of Lakewood Use Tax License Number.Current W9 * Click or drag a file to this area to upload. MessageSubmit
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