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This form is to request a donation of maximum £150 in vouchers to be spent in store. Applications for more than £150 made via this form will be unsuccessful.

If you wish to apply for more than £150 you will need to apply for a Community Grant.

Please enter your full name

Please enter your email address

Please enter a contact telephone number

Please select the region where your group is based.

East: incorporating postcodes DD6, EH, KY, TD

North: incorporating postcodes AB, DD1-DD5, DD7-DD11, IV, PH

West: incorporating postcodes DG, FK, G, KA, ML, PA

Lakes & Dales incorporating Northumberland, County Durham & Cumbria

Please enter the name of the group / cause

If you are a charity, please enter the charity number.

Please tell us what the vouchers will be used for? If to support an event, where and when will this be held and roughly how many people do you expect to attend?

We need around two weeks' notice to process vouchers and get them out to you.

Request for voucher donation - £10>£150

Please enter your full name

Please enter your email address

Please enter a contact telephone number

Please select the region where your group is based.

Please enter the name of the group / cause

If you are a charity, please enter the charity number.

Please tell us what the vouchers will be used for? If to support an event, where and when will this be held and roughly how many people do you expect to attend?

We need around two weeks' notice to process vouchers and get them out to you.

Value of voucher donation requested? (£)

To what address should the vouchers be sent?

Please enter your full name

Please enter your email address

Please enter a contact telephone number

Please select the region where your group is based.

Please enter the name of the group / cause

If you are a charity, please enter the charity number.

Please tell us what the vouchers will be used for? If to support an event, where and when will this be held and roughly how many people do you expect to attend? We need around two weeks' notice to process vouchers and get them out to you.

Value of voucher donation requested? (£)

To what address should the vouchers be sent?

Please tell us what the vouchers will be used for? If to support an event, where and when will this be held and roughly how many people do you expect to attend?

We need around two weeks' notice to process vouchers and get them out to you.