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Charitable Donations & Sponsorship Application Form
Charitable Donations & Sponsorship Application 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 Details
Name
*
First and Last name
Title In Organisation
*
Contact Number
*
Email
*
Other Important Details
Will Clarien’s name/logo appear in promotional materials for this programme/event?
*
Yes
No
If yes, please explain.
Will you be requesting additional support from Clarien? For example, volunteers.
*
Yes
No
If yes, please explain.
Will there be any media exposure opportunities for Clarien?
*
Yes
No
If yes, please tick those applicable.
Online
Social Media
TV
Radio
Newspaper
Name
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