You can either print this form off the website or with the Adobe Acrobat reader version. You will need to instal Adobe reader on your computer to read the file: if you do not have Acrobat please click here to download it. The document can then be downloaded Application form

Appleton Community Shop Grant - Application Form

Before completing this please read the Guidelines for Appleton Community Shop Grants

Organisation name:

Applicants name:

Position in Organisation:

Contact details:

(If applying for more than one grant, please complete a separate application form for each grant)

Value of Grant requested:

If greater than £500 will 3 quotes be obtained:               Yes                      No (delete as appropriate)

If No reason why: If known, when would the grant would be required:

In making this application I:

• a. Have read and understood the Appleton Shop Guidelines for applying for a grant.
• b. Agree that the organisation will be providing a minimum of 10% funding for any grant above £200.
• c. Understand that making this application does not guarantee a grant from Appleton Community Shop.

Applicant’s signature:

Printed Name:

Date:

Please return any completed applications to the Appleton Community Shop. Please label the envelope ‘Appleton Community Shop Grant Application’