Donation Request – Birchington Together

Please complete the form below if you would like to be considered for a donation from the Birchington Together CIC lottery profits.

Name *

First

Last

Email *

What group or good cause would you like the donation for *

Donation required *

When was your organisation established *

Brief description of what the donation will be used for and how it benefits Birchington *

If any donation will be used to purchase or part purchase equipment, please give details of the supplier, or a link to the supplier

If you have applied for funding or donations elsewhere, pleease give details

Does your group have a bank account? *

if you don’t have a bank account we cannot transfer you the money but we can purchase the items for you

Publicity and Terms and Conditions *

Confirm that you agree to Birchington Together CIC publicising the donation on their Website, Facebook page and Newsletter and the Terms and Conditions

Terms and Conditions

Donations must benefit the residents and/or traders of Birchington only.
For donations over £250 we may ask to see your governing document (e.g., Constitution: Terms of Reference).