Treasure Chest Application Form

Ayr Rotary Treasure Chest application
Where do you live if you are applying as an individual or where do you operate if you are applying as an organisation?
Thank you for your interest.

I am sorry, but you are ineligible to continue this form. You may wish to approach another Rotary club, closer to you.

Organisation or Individual
Contact Name

First NameLast Name
E-mail
example@example.com
Phone Number
Correspondence Address

Address 1

Address 2

TownState / Province

Post Code
If you are an organisation, please give status e.g. limited company, unincorporated association, community group, club etc
If you are a registred charity, add charity number
Please give some background on your organisation. If you are an individual, tell us about your project
Describe in no more than 100 words
What will you use the funds for?
Describe in no more than 100 words
What is the total cost of this project?
What is the total cost of this project? (Insert a number in £)
How much are you applying for? We may decide to fund part of this amount. The maximum is £250
How much are you applying for? We may decide to fund part of this amount. The maximum is £250 (Insert a number in £)
Have you applied for funding from any Rotary Club in the last 2 years?
If yes, which clubs?
Have you received any funding from a Rotary club in the last two years?
What is the latest date you require the funds?

DayMonthYear
Optional - you can upload files or photos to help your application

Cancelof
Should be Empty:

Please give some background on your organisation. If you are an individual, tell us about your project