Grant Check Confirmation

IMPORTANT NOTE

We understand that your organization may not always have someone on hand to accept mail delivery. Please confirm below whether you wish your check sent to the address we have on file, or to a different one. All checks will be made out to the organization name, regardless of where they are sent.

The envelope will come from Fidelity Investments and may be mistaken for junk mail. If a check is lost, reissuing it may require least 30 additional business days.

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App ID

Organization

Project

ATTENTION (current)

First Last

Address (current)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please Confirm(Required)

YES! Our check should be mailed to the above name/address

NO–we need to have the check mailed to a different name/address.

ATTENTION (new)(Required)

First Last

Address (new)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country