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2009 Grant Request

Michael and
Joel O'Brien

Assisting Our Community

Please complete the following application to be considered for a Partners grant. If you wish to submit additional material to support your request, please send it to Michael O'Brien, 929 W. 16th Street, Indianapolis, IN 46202.

Applications for 2009 Partners grants can be submitted until November 30, 2008.

Name of Organization		Name of person submitting application
Contact Phone Number with area code		Email address
Printing Partners sales contact: Please select your Printing Partners salesperson I have no sales contact at Printing Partners Becky Bennett Marcy Bowman Jon Broviak Mindy Delp Fred Douglass Theresa Edington Michelle Hornbaker Paul Loviscek Brian Miller George Nassar Kathy Netherton Michael O'Brien Joel O'Brien Jack Senesac Dennis Shea Teri Smith Carin Vittorio Sandra Wakefield Susan Walton
Please specify the activity for which you are requesting a Partners grant:
Date of activity/event:
Target Audience:
Goal for the activity/event:
How would a Partners grant help you achieve your goal:
Level of support requested:
Sponsor benefits attached to this level of support:
Please include any additional comments that you feel would help us evaluate your application: