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Unicom Community Support Scheme Application Form

All applications are considered by a panel which meets twice yearly in May and November and priority will be given to first time applications. This ensures all requests are dealt with fairly and equally. However, please note this makes it difficult for us to deal with short term requests.

Contact details:
Name:  
Address:
Postcode:
Email:  
Telephone number:  
Your Organisation:
Organisation name:
Registered address:
Postcode:
Registered charity number (if applicable):
Website:
Year established:
Brief details about the organisation:
Sponsorship/Support required (awards typically range from £100 - £500):
Amount of support requested:
Approximate number of people who will benefit from the support:
The award would be used for the following purpose:
Date of event or duration of sponsorship:
If the application is successful cheque should be payable to: (cheques cannot be made out to individuals)
If sponsorship was awarded to your organisation how would you acknowledge Unicom’s support?
Why do you consider Unicom to be an appropriate sponsor?
What prompted you to contact Unicom?
Unicom offer a range of products services that could benefit your organisation. Please tick this box if you do not wish to be contacted regarding our products and services. Please note your details will not be passed on to any third parties.