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?
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Name
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