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Saddle Hills County

APPLICATION DEADLINE IS OCTOBER 15TH FOR THE FOLLOWING BUDGET YEAR.

Grant recipients will receive a letter outlining the approved grant amount.

Please note that all questions require an answer. Should you have any difficulties completing this form, or require further assistance, please call (780) 864-3760 or email finance@saddlehills.ab.ca

ORGANIZATION INFORMATION

Organization Name:

Registered Charity/Non-Profit No. of Organization

Community/Settlement Name to be shown on Sign

Legal Land Location(s) for sign placement

Please upload a drawing or photo of the intended location(s) of the sign(s)

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Will you be providing an estimate for the cost of installation or would you like the County to do this?

Mailing Address:

Postal Code:

Contact Name

Contact Number

Secondary Contact Number

Sign options (Please choose one)

Option 1 (with amenities listed)

Option 2 (no amenities listed)

Option 1

Option 2

Please use one of the options below to sign this form electronically.

Please sign in the box below

Clear

By checking this box, which functions as your legal signature, you confirm that the information provided is as complete and accurate as possible, and that you agree to the terms and conditions of this form

I understand that checking this box constitutes a legal signature

Upload your electronic signature here.

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Notice of Collection

Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of assessing eligiibility for Program & Activity Grants from Saddle Hills County. Direct any questions about this collection to: FOIP Coordinator, Saddle Hills County, RR 1, Spirit River, Alberta, Canada, T0H 3G0, 1-888-864-3760.

Please send me a pdf copy of this form

Yes

Email address for copy of form