BLI Inquiry | BLI Global

To see if your church or organization qualifies for assistance complete this form in it's entirety

Better Life Initiative Letter of Inquiry Form

Date of Application

Legal Name of Organization

Year Founded

Pastor or Executive Director

Contact Person (If different than Executive Director)

Mailing Address

Is this a nonprofit tax-exempt organization?

Yes

Please Provide Tax Exempt Number of Verifiable Information

Country, State or Province

Phone

Postal Code

Fax

Web Address

Amount Requested

Total Project Cost

I CERTIFY, TO THE BEST OF MY KNOWLEDGE, THAT: This Organization does not support or engage in any terrorist activity, and If a grant is awarded to this Organization, the proceeds of that grant will not be distributed to or used to benefit any organization or individual supporting or engaged in terrorism, or used for any other unlawful purpose.

SIGNATURES

Pastor or President of Board of Directors

Executive Director or Secretary

(A facsimile of your actual signature may be required)

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To see if your church or organization qualifies for assistance complete this form in it's entirety

Better Life Initiative Letter of Inquiry Form

SIGNATURES

Better Life Initiative

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