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BLIND SPORTS FOUNDATION GRANT APPLICATION

TODAY'S DATE
APPLICANT NAME \| PARTICIPANT NAME
CONTACT MOBILE NUMBER
CONTACT EMAIL
ADDRESS OF SUBMITTING PARTY
DATE FOR FUNDING / SUPPORT REQUIRED
PROGRAM / EVENT NAME
STATEMENT OF NEED
PROGRAM / EVENT DESCRIPTION
APPLICANT GOALS & OBJECTIVES
YOUR BUDGET PLAN / HOW OUR FUNDING WILL BE USED
TIMELINE
DO YOU AGREE TO PROVIDE 2 OR MORE (1 MINUTE) VIDEOS OF YOUR PARTICIPATION AT THE EVENT, FOR OUR PROMOTIONAL USE?	YES NO
DO YOU AGREE TO PROVIDE 5 OR MORE PHOTOS OF THE EVENT AND YOUR PARTICIPATION, FOR OUR PROMOTIONAL USE?	YES NO
OTHER COMMENTS / PLEDGE

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Sponsored Office:

C/O Refined Real Estate

278 Anzac Highway PLYMPTON SA 5038

We acknowledge the Traditional Owners of country throughout Australia and recognise their continuing connection to land, waters, and culture. We pay our respects to their Elders past, present and emerging.

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