Application and Proposal for Port Townsend Lodging Tax Funds

form.antibot { display: none !important; } You must have JavaScript enabled to use this form.

1 2 3 4 5 6

Event *

Location *

Event Start Date

edit-submitted-event-start-date-month

edit-submitted-event-start-date-day

edit-submitted-event-start-date-year

Event End Date

edit-submitted-event-end-date-month

edit-submitted-event-end-date-day

edit-submitted-event-end-date-year

Requested Amount * $

Total Project Budget * $

If not fully funded, would you still accept partial funding for your project? *

Yes

If so, please describe how the project would still be successful. *

Organization/Agency Name *

Federal Tax ID Number *

Event, Project or Activity Name (if applicable) *

Contact Name and Title *

Mailing Address *

City, State, Zip Code *

Phone *

Email Address *

Organization Type *

Non-Profit

For Profit

Public Agency

I am an authorized agent of the organization/agency applying for funding. I understand that:

I am proposing a tourism-related event. If awarded, my organization intends to enter into a Facility Use Agreement with the City and provide liability insurance for the duration of the contract naming the City as an additional insured and in an amount determined by the City.
Reporting requirements meeting state guidelines outlined in this application must be submitted with final request for reimbursement.

Signature *

Date

edit-submitted-date-month

edit-submitted-date-day

edit-submitted-date-year

Department News