Grant Fund Application

* essential information
Applicant Name & address

Contact Name *	(first name)
Contact Name *	(last name)
Organisation Name
Address Line 1 *
Address Line 2

Town *
Country
Postcode *
Telephone *
Email *
Project Description * (no word count limit)
Grant Sum Requested *

	In submitting this form I confirm that the applicant organisation has given me authority to apply for a grant on its behalf and that it accepts our Terms & Conditions Section 3 for Conservation Grant Funding *

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© 2015. NCS Membership is registered as a not-for-profit company limited by guarantee, Nationwide Conservation Service Ltd, registered in England & Wales no. 7077608, VAT reg. 202361951. NCS projects are provided through Conservation Ltd, a company registered in England & Wales no. 06659286 VAT reg. 981-6962-69. Both companies are registered at 21 Albemarle St, Mayfair, W1S 4BS