2014 Community Grant Conference Call Registration

Please complete the information below to register for our 2014 Community Grant Conference Call. The call will be held on Wednesday, July 9th from 1-2:30pm CST/2-3:30pm 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 or 1-615-800-7181.

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 July 9th?

* 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) SEE FUNDING PRIORITY AREAS

* 10. Additional Comments: