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Community Grant nomination form

Use this form to nominate a charity for a Community Grant.

If your nominated charity is successful, a member of our Community Team will get in touch with you.

Your name*
Your address*

Street Address

Street Address Line 2

Town / CityState / Province

Post Code
Email
example@example.com
Your contact number*
Where did you find out about our Community Fund? (If a branch, please specify which)
Information about the charity or group you are nominating
Name of charity or group*
Charity or group contact name*
Charity or group email address*
example@example.com
Charity or group contact number*
Please note: All grants awarded will be paid by BACS. Any charity or group must be able to receive payments this way.
In order to process applications fully, we are required to share the data provided on this form with the Community Foundation. We will not use your data for marketing purposes. Please tick this box to confirm you agree.*

I agree
Please verify that you are human*
Should be Empty:

Information about the charity or group you are nominating