Application for Funding
Name of Organisation *
Your answer
Address of Organisation *
Your answer
Contact Name and Telephone Number *
Your answer
Background details/summary of your organisation *
Your answer
What do you require the grant for? *
Your answer
Please enter any additional information in support of your application (if applicable)
Your answer
Tick to confirm you will forward your most recent summary of accounts and information related to your own fundraising efforts *
Your application will not be considered without these - they can be posted to Loftus Town Hall or emailed to office@loftustc.co.uk
Required
Are you are a non profit organisation? *
Required
Are you requesting urgent consideration? *
Required
If successful will you be able to provide evidence of expenditure within 3 months? *
Required
If successful, will a member of your group be able to attend an event in the Town Hall *
Required
Please tick to confirm you have read the Guidelines for Grants Application on our website and all the information given in this form is correct *
Required
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