Central California Alliance

Organization:

Website Address:

Mailing Address:

Contact:

Phone: FAX:

Email Address:
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Project Title:

Estimated total project cost:

Amount requested from CCA:

Narrative: Briefly (1 page or less) describe the project for which you are
requesting funds. Include how this support’s your organizations mission
and the mission of Central California Alliance. Include the impact you
believe this will have on the Gay and Lesbian community and approximately
the number of people who will be served.

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