Apply for a Grant or Loan

Main Contact Details

Name of Applicant Organisation(*)

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Full name of main contact(*)

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Position of Main Contact(*)

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Main Contact Phone Number

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Main Contact Email Address(*)

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Correspondence Address (Postal)

Adress Line 1(*)

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Adress Line 2

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Adress Line 3

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City(*)

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Post Code(*)

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Secondary Contact Details

Full name of secondary contact(*)

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Position of Secondary Contact(*)

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Secondary Contact Phone Number(*)

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Secondary Contact Email Address(*)

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Organisation Details

Type of Organisation(*)

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Does the organisation have charitable status?(*)

Yes No

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Charity Registration Number

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Is the organisation able to reclaim VAT?(*)

Yes No

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About Your Application

Are you applying for a Grant, a Loan or a combination?(*)

Grant Loan Part Grant/Part Loan

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If a loan, what is your suggested repayment timescale?

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Project Name and location(*)

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Proposed project timescale(*)

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Summary of the project proposal(*)

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Has the organisation received previous funding from Surrey Rugby?(*)

Yes No

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Please tell us about your previous funding, include amounts and dates

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About Your Project Costs and Contributions

Total project Cost(*)

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3rd Party Contributions(*)

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Amount you are asking Surrey Rugby to contribute. Please show if it's Loan/Grant/Combination(*)

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What aspect will the Surrey Rugby funding cover?(*)

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Helping Our Clubs to Prosper and Thrive

Apply for a Grant or Loan

Grant & Loan Application Form

Main Contact Details

Correspondence Address (Postal)

Secondary Contact Details

Organisation Details

About Your Application

About Your Project Costs and Contributions