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INFORMATION REQUEST FORM
Thank You For Your Interest! We Would Love To Help Your Non-Profit.
Please fill out the form below to tell us about the non profit organization you are interested in helping. We will contact you to give you more information about our funding model.

Your Name
City / State
Email Address
Contact Phone (xxx) xxx-xxxx
Name Of Organization
Your Relationship To The Organization
Organization's Estimated Annual Operational Budget

We will try our best to respond to interested parties within 24 hours.

OUR MISSION • HOW OUR MODEL WORKS • FAQS • MFA PRINCIPAL • REQUEST INFORMATION • CONTACT US •

MICROFUNDEDART$ LLC
704 West Broad Street
Elizabethtown, NC, 28337
910.489.8049 (p)
888.557.1956 (f)
info@microfundedarts.org
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© 2009-2011. All Rights Reserved.

MICROFUNDEDART$ Is Proud To Be A
Mentor Organization For The Kennedy
Center's Initiative To Help America's Arts