Community Grant Application

Name of applicant/organisation

Address of applicant/organisation

Email of applicant/organisation

Name of contact person

Address of contact person

Phone number of contact person

Email of contact person

Preferred method of communication

Is your organisation GST registered?

If yes, what is your GST number?

Type of organisation (Charity, NFP, club etc)

Reason for application/What will the grant be used for?

Breakdown of costs.

Total amount of grant being applied for

Has the applicant / organisation applied for funds for the same purpose from any other source?

If Yes, please provide details

I confirm that the information I have submitted is true & correct and that I have the authority to apply for this grant on behalf of my organisation.

Address

Thank you for your application. The committee will be in touch after the AGM to advise the outcome. To accompany this application please email to office@havelockmusselfestival.co.nz, quotes/estimates to accompany your cost breakdown and a copy your organisations minutes that state your organisation have agreed to apply for this grant.

Grant Form

Community Grant Application

CORNERSTONE PARTNERS

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