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1
Organisation name
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2
Contact name
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3
Contact phone number
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4
Email address
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5
Website or Facebook page if you have one
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6
How long has the organisation been established?
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7
Where are you based? What areas do you cover?
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8
What does your organisation do?
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9
What are the organisations primary aims and objectives?
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10
How many people does your organisation help or support?
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11
Is there a specific project or piece of equipment that you would like to use the money towards?
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12
Please provide any other information you feel may be relevant.
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13
If you are a registered charity, please provide your charity number.
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