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* 1. Name of Organization

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* 2. Address of Organization

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* 3. Organization Description

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* 4. Are you a non-proft (501 (c))

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* 5. If no, then who is your fiscal sponsor?

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* 6. Are you in good standing with the State of Hawaiʻi (DCCA)?

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* 7. Name of Contact Person(s)

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* 8. Title of Contact Person

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* 9. Email of Contact Person

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* 10. Phone (Business)

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* 11. Phone (Mobile)

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* 12. Event Date

Date

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* 13. Event Location

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* 14. Event Address

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* 15. Event Description

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* 16. Projected # of People/Households

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