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Federation of Jewish Men's Clubs - Temple Sinai

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MIDDLE ATLANTIC REGION<br />

<strong>Federation</strong> <strong>of</strong> <strong>Jewish</strong> <strong>Men's</strong> <strong>Clubs</strong><br />

JOINT MEETING PROGRAM GRANT APPLICATION<br />

Please print or type the information requested below and submit this form to the Regional<br />

President at least six weeks in advance <strong>of</strong> the program.<br />

Topic <strong>of</strong> Program ______________________________________________________<br />

Speaker(s) ___________________________________________________________<br />

Program Expenses (be specific) __________________________________________<br />

____________________________________________________________________<br />

____________________________________________________________________<br />

Location <strong>of</strong> Program ___________________________________________________<br />

Date <strong>of</strong> Program ______________________________________________________<br />

Club #1 Name _________________________________________________________<br />

Name <strong>of</strong> Club President _________________________________________________<br />

Signature <strong>of</strong> Club President ______________________________________________<br />

Club #2 Name _________________________________________________________<br />

Name <strong>of</strong> Club President _________________________________________________<br />

Signature <strong>of</strong> Club President ______________________________________________<br />

Club #3 Name _________________________________________________________<br />

Name <strong>of</strong> Club President _________________________________________________<br />

Signature <strong>of</strong> Club President ______________________________________________<br />

* * * * * * * * * * * * * * * * * * * FOR REGIONAL USE ONLY * * * * * * * * * * * * * * * * * *<br />

APPROVAL ____________________________<br />

DATE CHECK SENT _____________________<br />

DATE _______________________<br />

AMOUNT ____________________<br />

COMMENTS __________________________________________________________<br />

_____________________________________________________________________<br />

2009-2010 Middle Atlantic Region Directory<br />

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