Application to Tim Gates Foundation for Funding Is the application for an Individual or Group?* Individual Group Name of Individual* First Last Fairhaven Member Since: (e.g. 2016/2017 Season)* Name of Group: (e.g. Nippers/Sports/Lifesaving Ops)* Contact Email:* Contact Number* Purpose of Funding*Amount Requested:* Total Cost/ Other Contributions? Further Details or Equipment Quotes etc:How will FSLSC benefit and how does Funding/purchase fit in with the aims of the Tim Gates Foundation?Confirm You Are Human:NameThis field is for validation purposes and should be left unchanged.