The Harborne Parish Lands Charity 

(Registered Charity no. 219031) 

 

INTERNET APPLICATION FOR A GRANT FROM AN ORGANISATION  

 (Please contain essential information within a single A4 page)

  

Name of organisation           

 

Address                   

 Telephone no.             

 

What are the main objects of your organisation? 

 

 What area does your organisation cover?               

 

In the last financial year, what was: 

 

Your income                            Your expenditure 

         

How much grant are you applying for?           

 

What is the purpose of the grant you are applying for? 

 

Geographical area where grant will be used ( be as specific as possible )   

 

To whom should cheque be made payable and sent to ?

 

Applicants name and job title     

 

Date                                            

 

Please enclose a copy of your latest annual report and accounts and return completed form to: Clerk to the Trustees, The Harborne Parish Lands Charity, 

109 Court Oak Road, Harborne Birmingham B17 9AA