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Get Canada Community Facilities Improvement Program Application Form

Address: Postal Code: Organization’s Phone: Fax: E-mail/website: Non-profit registration # Chairperson: Phone: (home) (work) E-mail: Contact Person: (if not chair) Phone: (home) (work) E-mail: Project Name: Location of Activity: Start Date: (month/day/year) Amount Requested: (cannot exceed 75% of total project costs) End Date: (month/day/year) Total Project Costs Provide a short description of the proposed project (1 sentence) NOVA SCOTIA DEPARTMENT OF COMMUNITIES, CULTURE .

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