Grant Certification Compliance Statement

APPLICANT
I hereby certify that the information contained in this application is true and correct to the best of my knowledge and that I have read the Policies and Procedures of the Campbell County Convention & Visitors Bureau Grants Program and will abide by all legal, financial, and reporting requirements as a condition of receiving grant funds from the CCCVB and Campbell County Lodging Tax Joint Powers Board.
Name*
Organization*
Signature*
Date*
Date Format: MM slash DD slash YYYY

APPLICANT