Charitable Donations & Sponsorship Application Form Please enable JavaScript in your browser to complete this form.Date of Application *Registered Charity # (If applicable)Name of Charity/Organisation *Mailing Address *Aim of Charity/Organisation *Amount of Funds Requested *Programme/Event that Funds will be applied to *Social Group that will Benefit from Funding *Date of Programme/Event *Contact DetailsName *First and Last nameTitle In Organisation *Contact Number *Email *Other Important DetailsWill Clarien’s name/logo appear in promotional materials for this programme/event? *YesNoIf yes, please explain.Will you be requesting additional support from Clarien? For example, volunteers. *YesNoIf yes, please explain.Will there be any media exposure opportunities for Clarien? *YesNoIf yes, please tick those applicable.OnlineSocial MediaTVRadioNewspaperNameSubmit About Us Information Centre Customer Security Latest News
