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 

 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 0DE.  

 

EMJ