SPONSORSHIP AND DONATION FORM

REQUESTS

SPONSORSHIP/DONATION

Organisation Name: *

ABN: *

Year of Establishment: *

Primary Contact Name: *

Primary Contact Phone Number: *

Primary Contact Title/Position:

Primary Contact Email: *

Primary Address:

Secondary Contact Name:

Secondary Contact Title/Position:

Secondary Contact Email:

Secondary Contact Phone Number:

Secondary Address:

Project Title: *

Project Name: *

Brief Description of the Project:

Detailed Outline of the Project and How Funding Will Help the Community *

Purpose of Funds:

Total Amount Requested *

Can the Project Be Broken Down into Part-Funding? If Yes, How?

If there are sponsorship benefits for Mounties Group, please list them here:

Has Your Organisation Received Funding from a Mounties Group Venue in the Past 2 Years? If Yes, List Project Name(s) and Amount(s)

Does Your Project Have Other Sponsors? If Yes, Organisation Name and Amount of Support Received.

Will You Consider a Mounties Group Venue for Your Events or Meetings?

Preferred Mounties Group Venue:

Upload Supporting Documents (Quotes, Project Plans, Financial Reports, etc.)

Upload File

Select a file from your computer or device.

Acknowledgement of Processing Time *

I understand that all funding requests have a minimum 60 business day timeframe

Authorised Person Name: *

Authorised Person Title:

Signature:

All funding requests have a minimum 60 business day timeframe Completing this form does not guarantee funding approval