APPLY FOR WAGS FUNDS

First Name *

Last Name *

Organization *

Is your organization a registered non-profit?YesNo

How many people work at your organization? *

Email *

Phone Number *

Country *

City *

What would the proposed funding be used to cover?*

What is the total expected cost of this endeavor? *

How much funding are you hoping for Wags to provide? *

Yes, I confirm that Wags has permission to contact me for further information.