Request for legal entities - Crossroad Foundation

SK CZ

Request for contribution for legal entities

the name of the submitting organization:

organization headquaters:

phone:

e-mail:

www:

legal status / organization ID:

creation date:

statutory representative:

project manager:

mission and main activities of the organization:

name of project:

project description:

budget:

project goal:

target group:

how many people the project will serve:

start date of the project:

end date of the project:

total amount of the project:

requested amount from the Crossroad Foundation:

which other organizations are or will be participating in the project financial support and how much?:

which other organizations do you plan to address?:

Write numerlas "three two one":

Nové Sady 41, 602 00 Brno, Czech Republic

Office: +420 543 332 025

E-mail: nadace@nadacekrizovatka.cz