Submit an application
To continue with your application, you must first agree to the following:
I confirm I have heard about this scheme through a connection within the business (staff member, customer, supplier)
*
Yes
No
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Please select the company you are requesting the donation from.
*
TradeChoice Carpet & Flooring
UK Flooring Direct
Nestware Holdings
Are you a colleague requesting matched donations for a charity activity you are doing?
*
Yes
No
Please could you let us know your relationship with us?
*
Please Select
Colleague
Customer
Supplier
Other
Please list your main internal contact:
*
Have you had a conversation with your contact about your application?
*
Yes
No
Have you previously received a donation from the above organisations?
Yes
No
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Donation request details
Amount requested (in GBP)
*
How will the donation be spent?
How will the donation be spent and impact on community?
*
Please use the additional lines below to explain how the donation will be allocated
What category/group will benefit (e.g. young people, sporting, learning)?
PR opportunities may be requested of successful applicants. Please specify any restrictions that may apply to this request
*
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About your donation request
Title of your funding request
*
(Max 150 characters, approx. 20 words)
Short summary of your funding request and why you are applying (if matched donation please indicate up to what amount you anticipate raising?)
0/700
Organisation name
*
Charity Number (if registered)
Website Address
*
Charity Telephone number (if known)
Please enter a valid phone number.
Format: [+][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ].
Charity Registered address (if known)
Address Line 1
Address Line 2
Town/City
County
Postcode
About the organisation (aims, objectives and activities)
*
0/700
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Your Contact details
Name
*
Role
*
Email address
*
example@example.com
Telephone number
*
Please enter a valid phone number.
Format: [+][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ][0][ ].
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Supporting information
Please supply any additional information you feel supports your application. You can add additional text or file attachments (e.g. quotes detailing items to be purchased)
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