N.J. Admin. Code § Tit. 2, ch. 71, subch. 4, app A
NEW JERSEY DEPARTMENT OF AGRICULTURE APPLICATION FOR "JERSEY FRESH" DEVELOPMENT AND/OR PROMOTIONAL FUNDS
The undersigned hereby applies for matched funds to be used in market development programs and/or promotion of New Jersey grown or produced agricultural commodities during calendar year ________.
In consideration of the receipt of such funds, the undersigned agrees:
1. To provide an equal amount of monetary funds for the specified purpose.
2. To use the New Jersey Department of Agriculture Jersey Fresh promotion theme, slogan and/or logo in conjunction with their programs. (Logo "Slick Sheets" will be provided.)
3. To submit to the New Jersey Department of Agriculture a notarized listing of expenditures at the completion of the promotional program.
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ORGANIZATION ______________________________________
ADDRESS _____________________________________________
CITY _________________ STATE ___________ ZIP _________
TELEPHONE ________ VENDOR FEDERAL ID # ________
SIGNATURE ___________________________ DATE ________
AMOUNT OF MATCHED FUNDS REQUESTED FROM THE NEW JERSEY DEPARTMENT OF AGRICULTURE $ _________
SCHEDULED DATE OF EVENT (IF APPLICABLE) ______
Return this application by __________ to Director, New Jersey Department of Agriculture,
Division of Markets, PO Box 330, Trenton, New Jersey 08625-0330. PLEASE BE SURE TO ATTACH A W-9 FORM.
Purpose of Organization
1. Please describe your organization, its purpose or mission.
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JERSEY FRESH MATCHED FUNDS APPLICATION
PART II
(Use separate sheets as needed)
1. Explain in detail how your proposed project will benefit the New Jersey Agricultural Industry, and complement the existing Jersey Fresh program.
2. Include the estimated number of people, projected participants, audience, or targeted individuals (i.e., the number of people who you anticipate benefiting from your project).
3. Outline promotional program and provide a breakdown of estimated costs of all components of the program.
N.J. Admin. Code Tit. 2, ch. 71, subch. 4, app A