Performance Grant APPLICATION

 

Please print out and complete the information below and return to:

 

Jeffrey Martinka, President

Slovenian Arts Council

1922 North Booth Street

Milwaukee, WI  53212

 

Should you have any questions, feel free to call Jeffrey Martinka at 414-477-1156.

 

 

 

Name of Organization/Performer: __________________________________________

 

 

President, Administrator

or Main Contact:                            __________________________________________

 

 

 

Address:                                          __________________________________________

                                                            Street or P. O. Box

 

 

                                                         __________________________________________

                                                            City, State, Zip code

 

 

Telephone Number:                        __________________________________________

 

 

 

Date of Presentation:                      __________________________________________

 

 

 

Place:                                               __________________________________________

 

 

 

Participant/s:                                   __________________________________________

 

 

 

Type of Event:                                 __________________________________________

 

 

 

Length of Event:                             ___________________________________________