NORTH BRANCH
P.O. Box 263
Meriden, KS 66512
Ph: 1-800-482-6707
Fax: 785-484-2360
SOUTH BRANCH
P.O. Box 47851
Wichita, KS 67201
Ph: 1-800-743-4089
Fax: 316-262-5504
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FUNDING APPLICATION
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Agency Type:
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Street Address:
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Zip:
Contact Person:
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Contact Person:
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Contact Person:
Email:
Authority Person:
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Total Amount Requested:
What equipment is on your
"wish list":
What will this be used for:
What benefit will be gained:
Is your request for a building:
Yes
Do you own the land:
Yes
Are you wanting assistance in:
Grants
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How much can you budget for
this annually:
Will the Lessee issue more than
$10,000,000 in Tax-Exempt Debt in
this Calendar Year:
Yes
Your purchase or expendature
deadline date:
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