Charitable Community Trust Application Form

Christchurch Casinos Charitable Community Trust Application Form

Contact Name(Required)

Contact Phone(Required)

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Test Email(Required)

Contact Email(Required)

Enter Email Confirm Email

Name of Organisation(Required)

Organisation Address(Required)

Region(Required)

Purpose of Funding(Required)

Amount Requested(Required)

Date Use of Funding Would Commence(Required)

Date Use of Funding Would Cease (or Project Intended to be Completed)(Required)

Bank Account Name(Required)

Bank Account Number(Required)

Have you collaborated with another charity on a community project in the last 12 months? If so, please give an example(Required)

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