the bryan adams foundation
Application Form
Date of Submission: Registration details of Not-for-profit organisation:
(Provide a copy of your registration certificate)
Applicant Organisation: Type of organisation:
Contact Person: Registration Number:
Address: Date:
Telephone Number:
Email Address:
Website Address:
How did you hear about The Bryan Adams Foundation?
Has the organisation received a grant before from The Bryan Adams Foundation?
If so, please give date and amount.
What are the organisation’s mission, goals, objectives and principal activities?
(no more than 50 words)
Title of the Project for which funding is being requested:
Description of the Project
(no more than 80 words)
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Location of Project:
Duration of Project:
What is the total cost of the project? Detail how this figure is arrived at.
How much money, if any, have you already raised for this project and from what sources?
Total Grant Request from The Bryan Adams Foundation (include currency)
Details of preferred method of payment (Electronic bank transfer or cheque).
Please note that cheques may only be made out to UK registered charities.
Any overseas organisation will need to provide full bank details for a transfer.
Referees: Names and addresses of two independent referees familiar with the applicant or project,
but not directly associated with the organisation:
1. 2.
Undertaking:
If the application is successful, I/We undertake:
1. To submit a report on the project within 3 months of the completion of the project
(and agree to this being used by The Bryan Adams Foundation).
2. To return to The Bryan Adams Foundation any money not used for the stated purpose.
3. To agree if requested, to a visit to the project by a Trustee or Advisor of
The Bryan Adams Foundation.
Date: Signed:
www.thebryanadamsfoundation.com 8 Apollo Place, London SW10 OET, UK +44 207 376 38 19 foundation@bryanadams.com
Charity Registration Number: 1117863
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