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Middleburg Special Event Funding Request

  1. Middleburg
  3. Primary Contact Information
  4. Organization Information
  5. First Time Applicant?
  6. Proposal Information
  7. Is this a new or existing project or event?
  8. Is the event weather dependent?
  9. Are multiple organizations involved?
  10. Please note that requests that exceed $10,000 require a 1:1 match
  11. List all additional funding including in-kind donations that your organization has secured for this project or event.
  12. Describe how the intended audience (residents and visitors to the area) will learn about the project or event.
  13. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  15. This field is not part of the form submission.