Donate

Mini-grant Prebate Request

Please enable JavaScript in your browser to complete this form.

Business Name

First Name

Last Name

Address1

Address2

City

State

Zipcode

Phone

items, First purchased

Briefly describe the proposed project.

Please provide links to the items, that must be purchased to complete your project:

Please consult with your Green Business Coordinator regarding purchase requirements and restrictions.

Please upload a W9:

Click or drag files to this area to upload. You can upload up to 2 files.

Thanks for participating in the mini-grant program. You will need to fill out another form after the project is complete and supply receipts.

If appropriate, please take ‘before and after’ pictures to include with the second form. It’s helps us help others!