Apply for a Grant | Lehigh Valley Chamber

Funding Request

Thank you for your interest in the 2019 Chamber Foundation Main Street Lehigh Valley Grant Program!

For any questions, please contact Lorie Reinert at the Chamber Foundation at 610-739-1597.

2019 Grant Application

* Indicates required field

Organization Name *

Federal ID#/EIN (if applicable) *

Chief Official's Name *

First

Last

Contact Person's Name *

First

Last

Chief Official's Title *

Contact Person's Title *

Chief Official's Email *

Contact Person's Email *

Chief Official's Phone Number *

Contact Person's Phone # *

Chief Offical's Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Person's Address *

Line 1

Line 2

City

State

Zip Code

Country

Project Title *

Proposed Start Date *

Proposed End Date *

Project Overview *

Partnering Organizations (if any) *

Total Project Cost *

Foundation Funds Requested *

Matching Fund Sources and Amount *

If granted, what will be the positive lasting impact of this program on your community: *

Please share the specific purpose of the project, how the project matches the Foundation’s mission and funding considerations. Please keep to 1 page maximum. *

Submit

Your donation allow us to continue funding community projects across the Lehigh Valley. We thank you for your support!