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2. Project Name*
3. Organization*
5. Contact Name*
6. Contact Phone Number*
8. Email Address*
10. Address*
12. City*
13. State*
14. Zip Code*
16. Project Date(s)*
    Project Date(s)
17. Project Time*
    Project Time
19. Project Location*
21. Project Address*
23. City*
24. State*
25. Zip Code*
27. Description of the event and how the funds will be spent.*

    Please include information about your target audience.

28. How will your event enrich the community?*
30. How does your project align with the PAC mission and objectives?*
31. Total Amount Requested*

    Not to exceed $500

33. How will PAC be recognized:*
35. 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.

    1. I agree.
36. Date
    Date
38. Electronic Signature
40. NOTE:

    The Public Arts Commission makes every effort to ensure that a representative will attend events sponsored in part by PAC, so notification in writing of changes in date/time are required to be emailed to PublicArtsCommission@forestgrove-or.gov 72 hours prior to the event.  If the funded event does not occur as scheduled, the event must be rescheduled and completed within 60 days of the originally scheduled event or sponsorship will be forfeited and returned to the PAC.  

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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field