Enquiry

Contact Details

First name

Last name

Organisation/Group Name

Telephone

Correspondence Address

Address Line 1

Address Line 2 Optional

Town/City

Postcode

Organisation Address

Different from Correspondence Address

Address Line 1

Address Line 2 Optional

Town/City

Postcode

Which Muirhall Energy project is your organisation based near?

About your Organisation

Date established

Do you have a signed constitution or equivalent? Yes No

Please provide a copy of the signed Constitution

Are you a registered charity? Yes No

Please include your charity number

What are the main activities of your organisation / what services do you provide?

What is the purpose of this application? Sponsorship Funding

Please give as much information as possible about your project

How will this benefit the community?

How much are you requesting?

What is the approximate cost of the project?

When will the project take place?

Please supply an approximate date if unsure

Will you be contributing any of your own funds to the project or undertaking any fundraising? Yes No

Contributing funds details

Approximately how many people will benefit from the project?

What will happen if funding cannot be provided?

Declaration

By submitting this form to Muirhall Energy Limited ("Muirhall"), you certify that the information contained in this application is correct, and that if you are awarded funds, you will use them only for the purposes specified by Muirhall.

You understand that all decisions made by Muirhall are final.

Additionally, you acknowledge that Muirhall will process your personal details for the purposes of assessing your application and corresponding with you thereafter. Your personal details will not be shared with any third parties.

If you are awarded funds, you acknowledge that Muirhall will have no responsibility for the recording and management of any awarded funds (if at all), including the accounting of any taxes that may arise as a result.

Please note: we cannot make payment to personal bank accounts. The name of the bank account MUST match that of the organisation submitting this form.

I/We agree with the above declaration

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