The Action Program Grant Application
                                     

Welcome to the Action Program, a coalition of manufacturers,
retailers, consumers, access and recreation organizations united
in the goal to protect public lands for recreational access.

ACTION PROGRAM GRANT GUIDELINES:

The goal and objective of the Action Program is to grant funding for
professionals to protect access to public lands. ACTION funding is intended
to supplement an organizations funding of litigation, research and other
projects that, due to lack of funding, can not be taken on without severe
financial strain to the access group.

Please answer the following questions in as much detail as you can.
Preferably, be prepared to make a presentation to the ACTION
Board of Directors outlining your request for funding. If documentation is
requested, please include a copy of all documentation with this
Grant Request Form.

Return the Grant Request and all documentation to:

The Action Program
P.O. Box 33285
Santa Fe, NM 87594-3285
866-215-2565
Fax 505-820-1932
Email: wmnracer@aol.com


Name of Organization: Date of Request: ____________________________
Amount of Grant Request: _______________
 Contact Name: ____________________
Estimated Cost of Project: ________________
Phone No. ___________________
Amount of Funding expected to be provided
Fax No. _____________________ by lead organization: _______________
Email Address: _______________ Other funding sources: ______________

Type of Grant:

 Litigation  Biological Research  Other Professional

Name of Project: ____________________
Area/State: __________________________

Details of project (Use another sheet if necessary):




Attorney/Professionals to be hired/paid:
Name of Firm:
_________________________________
_________________________________
_________________________________

Contact Name: ___________________
Email Address: ______________________
Phone No. ___________________
Fax No. ____________________________

Legal Opinion of Project, Goals, Objectives and projected length of
processes and litigation and approximate cost of Project
(MUST BE SUPPLIED IN WRITING BY ATTORNEY/PROFESSIONAL)

Budget/Legal Defense Fund Amount to be paid by Applicants: _______________________

====================================================
ACTION BOARD OF DIRECTORS SECTION:

Projected Budget/Costs: _____________________________________________________

Amount Granted: $______________________
Date Grant Approved: __________________

Lead Director: __________________________
Phone No. ____________________________

Signature of ACTION President: __________________________________________________

ACTION TREASURER:
Date Disbursed Payee Name Amount Paid Notes:

______________ __________________________ ___________________ _________________
______________ __________________________ ___________________ _________________
______________ __________________________ ___________________ _________________