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The information contained in this statement is for the purpose of obtaining funding from the Whitewater Valley REMC Community Trust, Inc. on behalf of the undersigned. Each undersigned understands that the information provided herein is used in deciding to grant funding, and each undersigned represents and warrants that the information provided is true and complete and that the Whitewater Valley REMC Community Fund, Inc. may consider this statement as continuing to be true and correct until a written notice of a change is provided. The Whitewater
Valley REMC Community Fund, Inc. is authorized to make all inquiries they deem necessary to verify the accuracy of the statements made herein.
I understand in applying for funding that if granted, it will be used for the sole purpose as stated in this application.
Further, I understand that if funding is received, I grant permission for its publication in the Whitewater Valley REMC’s monthly publication as well as any other publication the Whitewater Valley REMC deems appropriate.