FY24 AOT Cooperative Marketing Program Application

The FY 2024 Rural Cooperative Marketing Program Application

A completed and signed application must be submitted no later than July 24, 2023 by 5:00 p.m.

Incomplete and/or faxed applications will not be accepted.

Entity Name:

Doing Business As :

Physical Address

Mailing Address :

Maricopa County is not eligible.

County :

Project Coordinator

Name & Job Title :

Phone Number:

Email:

Destination Website URL:

The applicant has a current fulfillment piece for the destination.

Yes

Is this application being submitted for a regional partnership?

Yes

Signature

Two signatures are required in order to process this application.

Project Coordinator Signature:

Date

Administrator Signature :

Date

I agree and understand that by typing my signature in the Electronic Signature Acknowledgment and Consent Form, that all signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

FY24 AOT Cooperative Marketing Program Application

The FY 2024 Rural Cooperative Marketing Program Application

Project Coordinator

Signature

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