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<br />OJ T r~. <br /> <br />. <br /> <br />ARTSPACE PROJECTS INC. <br />400 First Avenue North #518 <br />Minneapolis, MN 55401 <br />(612) 339-4373 <br />(612) 349-2985 FAX <br />(800) 229-5715 <br /> <br />APPLICATION FORM <br />Regional Cultural Facility Grant Program <br /> <br />Instructions: Before completing this application, contact Artspace Projects <br />staff member Jan Plimpton to discuss your proposal and its eligibility under the <br />Project Guidelines. <br /> <br />Name: <br /> <br />------------------------------------------------ <br /> <br />Organization:___________________________________________ <br /> <br />Address: <br /> <br />----------------------------------------------- <br /> <br />e Te I ep h 0 n e :(h om e) ___________ (wo rk) __________ (fax) ________ <br /> <br />. <br /> <br />Please indicate the type of grant you wish to apply for: <br /> <br />On-Site Consulting <br /> <br />Conference/Seminar <br /> <br />ORGANIZATIONAL INFORMATION: (pleas describe your <br />organization and attach a current b dget) <br /> <br />I <br /> <br />HOW DO THE MISSION/GOALS OF THIS PROGRAM INTERSECT <br />WITH THOSE OF YOUR ORGANIZATION? <br />