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Community Support Fund Application

Community Support Fund Application

Group/Organisation details

Name of organisation (required)

Is the organisation incorporated (required)

If yes, what is the incorporation number?

If not incorporated, your organisation must be able to be auspiced by another body.
Please upload your agreement.
(Acceptable file types: pdf, doc, docx, png, jpg, jpeg, gif. Upload limit: 2MB)

Contact details

Committee representative (required)

Postal address (required)

Contact Phone (required)

Contact Mobile

Contact Email (required)

Grant details

Amount requested (required)
(Maximum amount funded is $200)

Please provide a brief description of your project (required)

When will your project take place? (required)

Who will benefit from your project? (required)

Declaration

I the undersigned, certify that the information contained in this application is a true and accurate record of our intentions.

Name of applicant (required)

Position within organisation (required)