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<?php
include_once($_SERVER['DOCUMENT_ROOT'].'/inc/php_header.php');
$meta_title = 'APPLY NOW | USA Grant Application';
$meta_description = 'APPLY Today! USAGrantApplication.org.';
$meta_canonical = 'https://usagrantapplication.org/apply.php';
include_once($_SERVER['DOCUMENT_ROOT'].'/inc/amp_header_order.php');
?>
<div class="form-head">
<p>USA Grant Application.org Online Form</p>
</div>
<div class="form-text">
<p>Please be as detailed as possible. The answers will be used to assist our grant researchers in helping to identify the best grant opportunities for you to apply for.</p>
<h3>GRANT APPLICANT INFORMATION</h3>
</div>
<!--form starts here-->
<form method="post"
class="p2"
action-xhr="/inc/order/apply_submit.php"
target="_top">
<p>Who will be applying?</p>
<div class="row">
<div class="col-5">
<label for="fname">First Name</label>
<input type="text" id="fname" name="firstname" placeholder="Your first name" required>
</div>
<div class="col-5">
<label for="lname">Last Name</label>
<input type="text" id="lname" name="lastname" placeholder="Your last name" required>
</div>
</div>
<h3> How much money are you looking for?</h3>
<div class="row">
<div class="col-3 col-s-6">
<select name="total_money" required>
<option value="">--Select Amount--</option>
<option value="$500 - $10,000">$500 - $10,000</option>
<option value="$10,000 - $25,000">$10,000 - $25,000</option>
<option value="$25,000 - $50,000">$25,000 - $50,000</option>
<option value="$50,000 - $100,000">$50,000 - $100,000</option>
<option value="$100,000 or More">$100,000 or More</option>
</select>
</div>
</div>
<h3>What type of funding are you looking for?</h3>
<div class="choose options clear">
<label class="step-title step-active"
[class]="currentStep > 0 ? 'step-title' : 'step-title step-active'"
on="tap:AMP.pushState({ currentStep: 0 })" role="button" tabindex="0">
<input type="radio" name="template-application-business" id="1-business" class="business" value="1">Business Funding
<p class="m0">Statup Capital, Expand Business, Home Based Business, Inventions</p>
</label><br />
<label class="step-title"
[class]="currentStep != 1 ? 'step-title' : 'step-title step-active'"
on="tap:AMP.pushState({ currentStep: 1 })" role="button" tabindex="0">
<input type="radio" name="template-application-business" id="5-real-estate" class="real-estate" value="5">Real Estate: Investing / Business
<p class="m0">New Construction, Rental Properties, Commercial</p>
</label><br />
<label class="step-title"
[class]="currentStep != 2 ? 'step-title' : 'step-title step-active'"
on="tap:AMP.pushState({ currentStep: 2 })" role="button" tabindex="0">
<input type="radio" name="template-application-business" id="3-community" class="community" value="3">Community Funding
<p class="m0">Performing Arts, Humanities, Crime Prevention, Disaster Relief / Prevention</p>
</label><br />
<label class="step-title"
[class]="currentStep != 3 ? 'step-title' : 'step-title step-active'"
on="tap:AMP.pushState({ currentStep: 3 })" role="button" tabindex="0" >
<input type="radio" name="template-application-business" id="2-education" class="education" value="2">Education / Tuition Funding
<p class="m0">Tuition, Student Financial Aid, Stafford Loans, Scholarships, Research</p>
</label><br />
<label class="step-title"
[class]="currentStep != 4 ? 'step-title' : 'step-title step-active'"
on="tap:AMP.pushState({ currentStep: 4 })" role="button" tabindex="0" >
<input type="radio" name="template-application-business" id="6-1st-time-home-buyer" class="1st-time-home-buyer" value="6"> Real Estate: Personal Home Purchase / 1st Time Home Buyer
<p class="m0"></p>
</label><br />
<label class="step-title"
[class]="currentStep != 5 ? 'step-title' : 'step-title step-active'"
on="tap:AMP.pushState({ currentStep: 5 })" role="button" tabindex="0">
<input type="radio" name="template-application-business" id="4-personal" class="personal" value="4">Personal Assistance
<p class="m0">Medical Expenses, Food Stamps, Child Care, Rent Assistance, Veterans</p>
</label><br />
<label class="step-title"
[class]="currentStep != 6 ? 'step-title' : 'step-title step-active'"
on="tap:AMP.pushState({ currentStep: 6 })" role="button" tabindex="0">
<input type="radio" name="template-application-business" id="7-home-repairs" class="home-repairs" value="7">Personal Assistance: Home Repairs
<p class="m0"></p>
</label>
</div>
<div class="hidden-options clear">
<section id="funding" hidden [hidden]="currentStep > 0">
<div class="content">
<h3 class="hrd">Suggested Sub-Categories <span>(Check all that apply)</span></h3>
<div class="subcategory business col-mb-4">
<input id="6-expand-business" type="checkbox" name="template-application-subcategories[]" value="6">
<label for="6-expand-business">Expand Business</label>
</div>
<div class="subcategory business col-mb-4">
<input id="2-green-business" type="checkbox" name="template-application-subcategories[]" value="2">
<label for="2-green-business">Green Business</label>
</div>
<div class="subcategory business col-mb-4">
<input id="8-invention" type="checkbox" name="template-application-subcategories[]" value="8">
<label for="8-invention">Invention</label>
</div>
<div class="subcategory business col-mb-4">
<input id="5-minority-owned" type="checkbox" name="template-application-subcategories[]" value="5">
<label for="5-minority-owned">Minority Owned</label>
</div>
<div class="subcategory business col-mb-4">
<input id="1-startup-capital" type="checkbox" name="template-application-subcategories[]" value="1">
<label for="1-startup-capital">Startup Capital</label>
</div>
<div class="subcategory business col-mb-4">
<input id="10-technology" type="checkbox" name="template-application-subcategories[]" value="10">
<label for="10-technology">Technology</label>
</div>
<div class="subcategory business col-mb-4">
<input id="7-training" type="checkbox" name="template-application-subcategories[]" value="7">
<label for="7-training">Training</label>
</div>
<div class="subcategory business col-mb-4">
<input id="9-women-owned" type="checkbox" name="template-application-subcategories[]" value="9">
<label for="9-women-owned">Women Owned</label>
</div>
</div>
</section>
<section id="real-estate" hidden
[hidden]="currentStep != 1">
<div class="content">
<h3 class="hrd">Suggested Sub-Categories <span>(Check all that apply)</span></h3>
<div class="subcategory real-estate col-mb-4">
<input id="46-apartment-buildings" type="checkbox" name="template-application-subcategories[]" value="46">
<label for="46-apartment-buildings">Apartment Buildings</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="49-commercial" type="checkbox" name="template-application-subcategories[]" value="49">
<label for="49-commercial">Commercial</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="53-historic-renovation" type="checkbox" name="template-application-subcategories[]" value="53">
<label for="53-historic-renovation">Historic Renovation</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="50-land-development" type="checkbox" name="template-application-subcategories[]" value="50">
<label for="50-land-development">Land Development</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="48-mobile-home-parks" type="checkbox" name="template-application-subcategories[]" value="48">
<label for="48-mobile-home-parks">Mobile Home Parks</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="51-new-construction" type="checkbox" name="template-application-subcategories[]" value="51">
<label for="51-new-construction">New Construction</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="52-property-repair" type="checkbox" name="template-application-subcategories[]" value="52">
<label for="52-property-repair">Property Improvements</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="44-rental-properties" type="checkbox" name="template-application-subcategories[]" value="44">
<label for="44-rental-properties">Rental Properties</label>
</div>
<div class="subcategory real-estate col-mb-4">
<input id="47-rv-parks" type="checkbox" name="template-application-subcategories[]" value="47">
<label for="47-rv-parks">RV Parks</label>
</div>
</div>
</section>
<section id="community" hidden
[hidden]="currentStep != 2">
<div class="content">
<h3 class="hrd">Suggested Sub-Categories <span>(Check all that apply)</span></h3>
<div class="subcategory community col-mb-4">
<input id="27-arts" type="checkbox" name="template-application-subcategories[]" value="27">
<label for="27-arts">Arts</label>
</div>
<div class="subcategory community col-mb-4">
<input id="22-crime-prevention" type="checkbox" name="template-application-subcategories[]" value="22">
<label for="22-crime-prevention">Crime Prevention</label>
</div>
<div class="subcategory community col-mb-4">
<input id="21-disaster-prevention" type="checkbox" name="template-application-subcategories[]" value="21">
<label for="21-disaster-prevention">Disaster Prevention</label>
</div>
<div class="subcategory community col-mb-4">
<input id="20-disaster-relief" type="checkbox" name="template-application-subcategories[]" value="20">
<label for="20-disaster-relief">Disaster Relief</label>
</div>
<div class="subcategory community col-mb-4">
<input id="32-environmental" type="checkbox" name="template-application-subcategories[]" value="32">
<label for="32-environmental">Environmental</label>
</div>
<div class="subcategory community col-mb-4">
<input id="29-green-community" type="checkbox" name="template-application-subcategories[]" value="29">
<label for="29-green-community">Green Community</label>
</div>
<div class="subcategory community col-mb-4">
<input id="24-historical-sites" type="checkbox" name="template-application-subcategories[]" value="24">
<label for="24-historical-sites">Historical Sites</label>
</div>
<div class="subcategory community col-mb-4">
<input id="25-humanities" type="checkbox" name="template-application-subcategories[]" value="25">
<label for="25-humanities">Humanities</label>
</div>
<div class="subcategory community col-mb-4">
<input id="26-non-profit" type="checkbox" name="template-application-subcategories[]" value="26">
<label for="26-non-profit">Non Profit</label>
</div>
<div class="subcategory community col-mb-4">
<input id="23-performing-arts" type="checkbox" name="template-application-subcategories[]" value="23">
<label for="23-performing-arts">Performing Arts</label>
</div>
<div class="subcategory community col-mb-4">
<input id="30-senior" type="checkbox" name="template-application-subcategories[]" value="30">
<label for="30-senior">Senior</label>
</div>
<div class="subcategory community col-mb-4">
<input id="31-social-services" type="checkbox" name="template-application-subcategories[]" value="31">
<label for="31-social-services">Social Services</label>
</div>
<div class="subcategory community col-mb-4">
<input id="28-transportation" type="checkbox" name="template-application-subcategories[]" value="28">
<label for="28-transportation">Transportation</label>
</div>
</div>
</section>
<section id="education" hidden
[hidden]="currentStep != 3">
<div class="content">
<h3 class="hrd">Suggested Sub-Categories <span>(Check all that apply)</span></h3>
<div class="subcategory education col-mb-4">
<input id="14-housing-bording" type="checkbox" name="template-application-subcategories[]" value="14">
<label for="14-housing-bording">Housing / Bording</label>
</div>
<div class="subcategory education col-mb-4">
<input id="12-internship" type="checkbox" name="template-application-subcategories[]" value="12">
<label for="12-internship">Internship</label>
</div>
<div class="subcategory education col-mb-4">
<input id="15-research" type="checkbox" name="template-application-subcategories[]" value="15">
<label for="15-research">Research</label>
</div>
<div class="subcategory education col-mb-4">
<input id="13-scholarship" type="checkbox" name="template-application-subcategories[]" value="13">
<label for="13-scholarship">Scholarship</label>
</div>
<div class="subcategory education col-mb-4">
<input id="18-science" type="checkbox" name="template-application-subcategories[]" value="18">
<label for="18-science">Science</label>
</div>
<div class="subcategory education col-mb-4">
<input id="17-teacher-staff" type="checkbox" name="template-application-subcategories[]" value="17">
<label for="17-teacher-staff">Teacher / Staff</label>
</div>
<div class="subcategory education col-mb-4">
<input id="10-technology" type="checkbox" name="template-application-subcategories[]" value="10">
<label for="10-technology">Technology</label>
</div>
<div class="subcategory education col-mb-4">
<input id="7-training" type="checkbox" name="template-application-subcategories[]" value="7">
<label for="7-training">Training</label>
</div>
<div class="subcategory education col-mb-4">
<input id="11-tuition" type="checkbox" name="template-application-subcategories[]" value="11">
<label for="11-tuition">Tuition</label>
</div>
<div class="subcategory education col-mb-4">
<input id="16-university" type="checkbox" name="template-application-subcategories[]" value="16">
<label for="16-university">University</label>
</div>
</div>
</section>
<section id="real-estate-personal" hidden
[hidden]="currentStep != 4">
<div class="content">
</div>
</section>
<section id="personal" hidden
[hidden]="currentStep != 5">
<div class="content">
<h3 class="hrd">Suggested Sub-Categories <span>(Check all that apply)</span></h3>
<div class="subcategory personal col-mb-4">
<input id="35-child-care" type="checkbox" name="template-application-subcategories[]" value="35">
<label for="35-child-care">Child Care</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="39-drug-abuse-treatment" type="checkbox" name="template-application-subcategories[]" value="39">
<label for="39-drug-abuse-treatment">Drug Abuse Treatment</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="43-food-nutrition" type="checkbox" name="template-application-subcategories[]" value="43">
<label for="43-food-nutrition">Food / Nutrition</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="41-low-income" type="checkbox" name="template-application-subcategories[]" value="41">
<label for="41-low-income">Low Income</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="34-medical-expenses" type="checkbox" name="template-application-subcategories[]" value="34">
<label for="34-medical-expenses">Medical Expenses</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="38-food-stamps" type="checkbox" name="template-application-subcategories[]" value="38">
<label for="38-food-stamps">Food Stamps</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="30-senior" type="checkbox" name="template-application-subcategories[]" value="30">
<label for="30-senior">Senior</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="36-utility-bills" type="checkbox" name="template-application-subcategories[]" value="36">
<label for="36-utility-bills">Utilities</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="37-rent-assistance" type="checkbox" name="template-application-subcategories[]" value="37">
<label for="37-rent-assistance">Rent Assistance</label>
</div>
<div class="subcategory personal col-mb-4">
<input id="40-veterans" type="checkbox" name="template-application-subcategories[]" value="40">
<label for="40-veterans">Veterans</label>
</div>
</div>
</section>
<section id="home-repairs" hidden
[hidden]="currentStep != 6">
<div class="content">
</div>
</section>
<br />
<h3>What area of the United States are you located in?</h3>
<div class="row">
<div class="col-12 lab">
<label>Mailing Address</label>
<input type="text" name="address" required>
</div>
</div>
<div class="row">
<div class="col-4 lab">
<label>City</label>
<input type="text" name="city" required>
</div>
<div class="col-4 lab">
<label>State-</label>
<select name="state" required>
<option disabled selected value=""> -- Select Your State -- </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FM">Federated States of Micronesia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MH">Marshall Islands</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PW">Palau</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
<div class="col-4 lab">
<label>Zip</label>
<input type="text" pattern="(\d{5}([\-]\d{4})?)" name="zip" required="">
</div>
</div>
<h3>Select Your Gender</h3>
<label><input type="radio" name="gender" value="M"> Male</label><br>
<label><input type="radio" name="gender" value="F"> Female</label><br>
<h3> Age</h3>
<div class="row">
<div class="col-3">
<select name="age" required>
<option disabled selected value> -- Choose Your Age -- </option>
<option value="18-25">18-25</option>
<option value="25-30">25-30</option>
<option value="30-55">30-55</option>
<option value="55+">55+</option>
</select>
</div>
</div>
<h3>Select Your Citizenship</h3>
<label><input type="radio" name="citizenship" value="US Resident"> US Resident</label><br>
<label><input type="radio" name="citizenship" value="Green Card Holder "> Green Card Holder</label><br>
<label><input type="radio" name="citizenship" value="Permanent Resident "> Permanent Resident</label><br>
<label><input type="radio" name="citizenship" value="Resident Alien"> Resident Alien</label><br>
<h3> Describe in detail what you need the money for.</h3>
<textarea name="whats_the_money_for" required></textarea>
<h3>What makes you an ideal candidate for a grant?</h3>
<textarea name="grant_candidate" required></textarea>
<h3>Select Your Employment Status</h3>
<label><input type="radio" name="employment" value="Full Time"> Full Time</label><br>
<label><input type="radio" name="employment" value="Part Time"> Part Time</label><br>
<label><input type="radio" name="employment" value="Self Employed"> Self Employed</label><br>
<label><input type="radio" name="employment" value="Retired"> Retired</label><br>
<label><input type="radio" name="employment" value="Unemployed"> Unemployed</label><br>
<label><input type="radio" name="employment" value="Collecting Social Security "> Collecting Social Security </label><br>
<label><input type="radio" name="employment" value="Disabled"> Disabled </label><br>
<div class="row eth">
<h3>What is your Ethnicity?</h3>
<p>(This may open up a few doors based on your situation.)</p>
<label><input type="radio" name="ethnicity" value="White"> White<br>
<label><input type="radio" name="ethnicity" value="Black or African American "> Black or African American </label><br>
<label><input type="radio" name="ethnicity" value="Native American"> Native American</label><br>
<label><input type="radio" name="ethnicity" value="Asian American"> Asian American </label><br>
<label><input type="radio" name="ethnicity" value="Native Hawaiian"> Native Hawaiian </label><br>
<label><input type="radio" name="ethnicity" value="Pacific Islander"> Pacific Islander</label><br>
<label><input type="radio" name="ethnicity" value="Middle Eastern American "> Middle Eastern American </label><br>
<label><input type="radio" name="ethnicity" value="Hispanic"> Hispanic</label><br>
<label><input type="radio" name="ethnicity" value="Latino"> Latino</label><br>
<label><input type="radio" name="ethnicity" value="Latino"> Multi-racial</label><br>
<label><input type="radio" name="ethnicity" value="Latino"> Other</label><br>
</div>
<div class="describe mt20 clear row">
<label>How would you describe your credit?</label>
<br>
<label>
<input type="radio" name="template-application-describe-credit" value="Excellent">Excellent
</label>
<label>
<input type="radio" name="template-application-describe-credit" value="Good">Good
</label>
<label>
<input type="radio" name="template-application-describe-credit" value="Fair">Fair
</label>
<label>
<input type="radio" name="template-application-describe-credit" value="Poor">Poor
</label>
</div>
<div class="credit describe mt20 clear row">
<label>Do you want to improve your credit?</label>
<br>
<label class="menuExpand" on="tap:credit.show" role="button" [class]="expanded8 ? 'expanded menuExpand' : 'menuExpand'" tabindex="0">
<input type="radio" name="template-application-improve-credit" value="Yes">Yes</label>
<label class="menuExpand" on="tap:credit.hide" role="button" [class]="expanded8 ? 'expanded menuExpand' : 'menuExpand'" tabindex="0">
<input type="radio" name="template-application-improve-credit" value="No">No</label>
</div>
<div class="improve-credit mb30 mt10 ml30" id="credit" data-class="" [class]="expanded8 ? 'expanded8' : ''" hidden="">
<div class="inner">
<label class="block mt10 mb5">Have you been turned down for a loan in the last 60 days?</label>
<label>
<input type="radio" name="template-application-loan" value="Yes">Yes
</label>
<label>
<input type="radio" name="template-application-loan" value="No">No
</label>
</div>
<div class="inner">
<label class="block mt10 mb5">What is your main goal or reason to have good credit?</label>
<label>
<input type="radio" name="template-application-good-credit" value="Buy a home">Buy a home
</label>
<label>
<input type="radio" name="template-application-good-credit" value="Buy a car"> Buy a car
</label>
<label>
<input type="radio" name="template-application-good-credit" value="Other">Other
</label>
</div>
<div class="inner">
<label class="block mt10 mb5">What is your time frame for accomplishing your goal?</label>
<label>
<input type="radio" name="template-application-time" value="1-3 Months"> 1-3 Months
</label>
<label>
<input type="radio" name="template-application-time" value="4-6 Months"> 4-6 Months
</label>
<label>
<input type="radio" name="template-application-time" value="6-12 Months"> 6-12 Months
</label>
</div>
<div class="inner">
<label class="block mt10 mb5">How serious are you about fixing your credit?</label>
<label class="block">
<input type="radio" name="template-application-serious" value="Very interested!">
<strong>Very interested!</strong> I need to make a large purchase soon and need to improve it.
</label>
<label class="block mt10">
<input type="radio" name="template-application-serious" value="No Rush.">
<strong>No Rush.</strong> I'm just looking for options.
</label>
</div>
<div class="inner">
<label class="block mt10 mb5">Would you like to talk to a specialist to improve your credit?</label>
<label class="menuExpand" on="tap:inner-block.show" role="button" [class]="expanded9 ? 'expanded menuExpand' : 'menuExpand'" tabindex="0">
<input type="radio" name="template-application-specialist" value="Yes"> Yes
</label>
<label class="menuExpand" on="tap:inner-block.hide" role="button" [class]="expanded9 ? 'expanded menuExpand' : 'menuExpand'" tabindex="0">
<input type="radio" name="template-application-specialist" value="No"> No
</label>
</div>
<div class="inner-block" id="inner-block" [class]="expanded9 ? 'expanded9' : ''" hidden="">
<label class="block mt10 mb5">I give permission to have a credit pro from Pinnacle Credit Pros contact me.</label>
<label>
<input type="radio" name="template-application-permission" value="Yes"> Yes
</label>
<label>
<input type="radio" name="template-application-permission" value="No"> No
</label>
</div>
</div>
<div class="row ph">
<div class="col-6">
<label>Email Id</label>
<input type="email" name="email" required>
</div>
<div class="col-6">
<label>Phone</label>
<input type="tel" name="telephone" required>
</div>
</div>
<div class="row">
<div class="inform clear">
<label for="template-application-inform">
<input type="checkbox" name="inform_me" value="Yes" checked="">Yes, I want to receive emails on New Funding Opportunities as well as New Tips!</label>
</div>
</div>
<div class="row">
<div class="col-12">
<button name="subject" type="submit" value="fav_HTML" class="submit-button"> click here to start applying</button>
</div>
</div>
<center>
<div submit-success="">
<template type="amp-mustache">Success! Thanks for contacting us!</template>
</div>
<div submit-error>
<template type="amp-mustache">{{message}}</template>
</div>
</center>
</form>
<div class="terms">
<div class="fine-print f12">
<p>
To provide you with the support and resources you need to successfully pursue your funding quest, we charge a small fee to cover the
administrative costs of marketing and advertising this site. The fee is 29.95 for the first month a fair price to pay for the wealth
of applications and information provided. With your registration fee, you will receive access to our members-only application sources site.
</p>
<p>
Good news: this fee comes with a GUARANTEE! If you apply for the funding opportunities and yet you don't receive the funding, your fee will
be refunded to you! All you have to do is provide our support staff with the funding agency you applied to and the response you received and
your fee will be refunded immediately. You will have 90 days from the date of this transaction to submit your refund request along with your
denial letter. So there is no risk: you have nothing to lose!
</p>
<p>
What are you waiting for? 29.95 has the tools and resources you need to guide you in the process of finding and applying for funding.
Open the door to funding opportunities. Get started now!
</p>
</div>
</div>
<!--form ends here-->
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