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Revenue Sharing Fund Application

  1. Has this organization received Revenue Sharing Funds in the past?*

  2. Are you a non-profit organization?*

  3. Additional documents may be emailed to [email protected]

  4. I swear under penalty of perjury that the information supplied herein is true and correct*

  5. 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.

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  7. This field is not part of the form submission.