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2012-13 Major Equipment Grants

This is a preview of the Community Capital Works Grants - Major Equipment Grants form. When you’re ready to apply, click Fill Out Now to begin.

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1. 2. Section 2, Equipment Details

3. Section 3, Budget

4. Section 4, Applicant declaration

Organisation Name

Postal Address

Address


Suburb	State	Postcode

Contact person for project

Your Name

Title	First Name	Last Name

Position

Phone Number: AH

Phone Number: BH

Email Address

Mobile

Organisation/group details

Are you registered for GST?

Yes

Clear

Legal status of your organisation (please tick)

DSE Committee of management

Section 86 Committee of management

Clear

Council officer

Discussing your application with a Council officer prior to submission is compulsory. Please nominate the officer with whom you have discussed your application.

Council officer

Amount of funding you are requesting? Please note funding in this grants program is to a maximum of $10,000.

Please indicate the grant amount you are seeking from Council

100% Total Value of Equipment

50% Contribution from committee

50% Community Capital Works Grants - Major Equipment Grants

Required Field