Community support application form

Name of charity

Registered charity number

Address of charity

Name of contact

Position

Telephone number

Email address

Website address

Background to charity

Main fundraising activities

Who the charity supports

How funds are raised for the charity

Nature of sponsorship request
(please be as detailed and specific as possible)

When the support is required

Outcome of the support

Have you received support from Chelsea previously?

Yes No

Agreement

In submitting this application form, you are agreeing to the policy outlined in the Community Support Programme.

You also agree that you will provide feedback following any support provided.

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