Application to Tim Gates Foundation for Funding Is the application for an Individual or Group?*IndividualGroupName 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.
