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LTAC Application <br />You are strongly encouraged to compose your responses to the questions of this form with a desktop text editor and save your <br />work, then copy and paste the information into the form. You may also save a draft by selecting the button at the bottom of this page. Wren <br />you do this you will be logged out and must log back in to continue. ln order to save a draft you will need to provide an email address and a <br />password. Afrer completing the save drat, you will be redirected to landing page containing a link to log back into the form. We suggest you <br />save this link as a bookmark. The link will also be sent to you in an email. <br />Did you attend the Grant Application Workshop for the current year hosted by the Kittitas County Chamber of Commerce?* <br />Yes <br />.No <br />Confirmation and Acknowledgement: * <br />.. I have read and understand Submittal lnstructions and General Information for the Lodging Tax Grant Funding Process. <br />, I acknowledge that a representative for my organization will need to atiend (either virtually or in-person) the oral presentation meeting <br />to answer questions. <br />Organization lnformation o <br />Name of Organization * <br />Junktiquen in the Burg <br />Organization Address* <br />Itailing Addres3 <br />2830 S. Thorp Hwy <br />Cily <br />Ellensburg <br />Posial I Zip Code <br />98926 <br />Slale i Province,' Regiorl <br />WA <br />Counlry <br />USA <br />Organization Glassification * <br />Business <br />Non-Profit <br />Upload Proof of Organization Status <br />(NOTE: incorrecUincomplete documentation will disqualify the application)* <br />Click here to view sample Cocumeuls lredacled). <br />Acceplable {1le lornrats rnciude: JPG, PDF or TIFF <br />Junk-tiquen W9.pdf 566.57K8 <br />Project Contact lnformation o <br />NOTE: The project contact listed below MUST be a volunteer/memberlemployee of the <br />organization requesting funds. <br />First Name* <br />Becky <br />Last Name* <br />Sherley