CORTESE FOUNDATION
email: info@cortesefoundation.org
Online Application

This form must be submitted online at least six weeks before funds are needed.
Applicant / Contact Person
Name:
Address:
City:
   State:    Zip:  
Telephone:
Alternate Telephone:
(if applicable)
Email:


Organization / Group
Name:
Address:
City:
   State:     Zip:  
Telephone:
Fax:
(if any)
Email:
Web Site (if any):
Non-profit Tax ID #:

Explain below in 75 words or less, how a $500 contribution from CORTESE FOUNDATION would be used or leveraged for success. Please use one to three dates to explain your timeline. Spelling and grammar count. Example: We will use the $500 to have a logo made for our non-profit group before January 15, 2010. We will use the logo in promotional materials for our capital campaign to build a new animal shelter by January 15, 2012.