EASA STORM SUPPORT FUND APPLICATION

EASA STORM SUPPORT FUND APPLICATION
The EASA support fund is designed to assist participants with the cost of registration fees or other expenses to enable full participation in the program. Applications will be automatically submitted to the EASA board of directors for review.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*

Confirmation Emailexample@example.com
Phone Number*

Area CodePhone Number
What is the amount of funding you are applying for? *
Have you applied for funding from another organization?*

YESNO
If yes, please describe the source of funding and the amount received.
How many times have you applied and/or received funding through the player support fund? *
Have you been involved in any fundraising efforts for EASA Storm this year? If so, please explain in detail. *
Please describe the reason(s) that you are requesting funding from EASA? Why do you need financial assistance? Provide as much detail as possible for the board to make an informed decision *
Provide Receipt or Invoice that you are requesting support for:

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Signature*

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