Line Dance Foundation ||| Grant Application

Grant Application Form

Please complete ALL of the sections below:

My name
My address

Town/City
Country
Postcode/Zip Code
Daytime telephone no
Email address
I would like to nominate the following person to be considered for a Grant by the Board of Trustees of the Line Dance Foundation.
Please note that all details of beneficiaries and grants are kept in total confidence, unless beneficiaries agree to details being released.
Full name of nominee
Nominees telephone no
Nominees Email address
Nominee's postal address
Nominee's postal address
Town/City
Postcode/Zip Code
Country
Details of the nominee's Line dance background
Please provide a reason (or reasons) for the application
Digital signature (please insert your initials)
Date	[DD/MM/YYYY]
To prevent spam enter 8470 in the next box