D6440 Peace Pole Grant 2025-2026

PROJECT DETAILS
Date*

MonthDayYear
Club Name*
Club President

First NameLast Name
Club President Phone Number
Please enter a valid phone number.
Club President e-mail*
example@example.com
General Description of Project*
Please share your Peace Pole Story : WHEN was it planted it? WHERE is it located? WHO sponsored this peace pole? WHAT was the motivation to create it? WHY was it created?*
Expected project completion*

MonthDayYear
Date
Publicity*
How was this project publicized? Describe your plan for electronic or print or other publicity on the success of your project.
Upload any files or documents that you care to add to your project description, including all receipts, publicity flyers, photos of the peace pole; installation ceremony, if applicable.

Cancelof
How much did you spend on the Peace Pole, including a purchase price, shipping, installation? The District will Reimburse your expenses up to $250.00 upon submission of receipts.
$xxx.xx
Payee Name- Club or Club Foundation*
Payee Contact Name Club President or Treasurer)*

First NameLast Name
Payee Contact e-mail*
example@example.com
Payee Contact phone number*
Payee Address*

Address Line 1

Address Line 2

City / TownState

Zip Code

SUBMISSION
When you have completed the application, please click on "Submit" and your application will be saved and you will receive a pdf of your application. You will also have the option of editing your application once it is submitted. (Follow the instructions at the bottom of the email that you will receive.)
Should be Empty:

D6440 Peace Pole Grant Application 2025-2026