Charity Application
Activity Delivered
Organisation/charity name:
Your name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Position in organisation/charity:
Where did you hear about us:
Type of application:
Fund raising event
Voucher
Discounted activity
Which of our activities are you interested in:
Nerf
Mini Tipis
Cinema Tipi/Gaming Tipi
Zorb
Archery Tag
Boom Co
Which quarter are you applying from:
Jan-Mar
Apr-Jun
Jul-Sep
Oct-Dec
Tell us a little about your organisation/charity:
Brief description of your event:
What impact will our donation have on your organisation/charity:
Tell us why you’re applying to Activity Delivered for a donation:
Submit
Should be Empty: