EmailMeForm
Request Username for NLC Grant Assistance Service
Primary Contact
Name
*
First
Last
City
*
State
*
Email
*
Please provide your email address again to confirm.
Title
*
Phone
*
###
-
###
-
####
Is your city an NLC member?
*
Yes
No
I don't know
Are you employed by the city?
*
Yes
No
I will be the Grant Access user for my city.
*
Yes
No
Would you be interested in grant writing services in addition to a Grant Access log-in?
*
Yes
No
Notes or Comments
