Senator Bartolotta’s Municipal Grant Seminar Registration Form July 21, 2022 | 10 a.m. Greene County Career and Technology Center 60 Zimmerman Drive Waynesburg, PA 15370 RSVP deadline: Monday, July 11 Name(Required) First Last Title/Position(Required) Organization Name (Fire, EMS, Company Name)(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Enter Email Confirm Email Please Tell Us About Your Municipal/Organizational Needs (Please keep responses under 250 words)What grant program interests you the most? What project/projects do you have?How did you hear about this event? Telephone Message Social Media Email Flyer/Post Card Website CommentsThis field is for validation purposes and should be left unchanged.
