Pure Water, Pure Love Initial Grant Report
(This form must be completed each year for 3 years after the funds are received)
Your Name
*
Full Name
Title/Position
Organization Name?
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Were you able to complete the PWPL Project as proposed?
*
Yes
NO
Please Explain and include any adjustments that had to be made, including financial adjustments:
*
Please share a story about the impact this project has had on the community.
*
Please provide photocopies of all receipts related to the project:
*
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of
Please provide images of the project (by submitting images, you are allowing National WMU to use images for promotional purposes):
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of
Signature
Submit
Should be Empty: