Apply for a Grant

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First Name
Last Name
Charity/Company/Institution
Street Address
Suburb, State, Postcode
Email
Phone
Details of Registration
Charity Registration Number
ABN
Eligibility for DGR Status
Purpose for Application
Details for Application
Has Application for support been made to a State or Federal Department?
Yes
No
Estimated Cost
Has a minimum of 2 Quotes been obtained?
Yes
No
Quote Values

Blank Name of Supplier Amount ($)

Quote 1

Quote 2

Quote 3

Final Quote
What co-funding may the applicant be undertaking or planning to undertake to fund the equipment alongside the Primary Club's grant?
How is the equipment to be maintained, and where will it be stored?
How does the applicant intend to identify and publicise the donation as coming from the Primary Club of Australia (press local, state and national), plaque, website, social media, newsletter/circular, influencers, Annual Report, signs on the equipment etc)? Please be specific across all proposed forms.
PREVIOUS APPLICATIONS: Please provide details of previous grants, examples of publicity and acknowledgements (of the type outlined in point 6) for the Primary Club for any previous grants.
FILE UPLOAD: Please upload any supporting documentation that you believe will support your application.
Filename
Size
Process
Status
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Thanks for applying, We will endeavor to come back to you within 72 hours of receiving your application.
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