2013 Community Grant Conference Call Registration

Please complete the information below to register for our 2013 Community Grant Conference Call. The call will be held on Friday, June 14th from 9:30am-11am CST/10:30am-12pm EST.

This call is MANDATORY for any organization planning to submit an application in this grant year regardless of previous participation or funding. Materials and conference call instructions will be sent via email prior to the conference call.

If you have any questions, please contact Tamara Currin via email at tcurrin@marchofdimes.com or by phone at 1-877-399-DIME.

Thank you for your interest in our Tennessee Chapter Community Grant Program!

* 1. What is your first and last name?

* 2. What organization are you representing?

* 3. What is your job title?

* 4. What is your address? (please include city and zip code)

* 5. What is your email address?

* 6. What is your phone number?

* 7. Will you attend the Community Grant Conference Call on June 14th?

* 8. Will others from your agency join you for the call?

* 9. Which March of Dimes funding priority are you interested in addressing? (non-binding at this time)

* 10. Additional Comments: