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Application for Funding
Funding category
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Arts
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Environment
Health
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Contact Information
Address
First name
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Last name
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Address 1
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Address 2
City
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Province
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British Columbia
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Postal code
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Telephone
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Email
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Charitable Organization
Name
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Registration number
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Your charitable registration number should consist of nine digits followed by “RR” followed by four digits, e.g. "123456789RR1234"
Telephone
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Facsimile
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Contact
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Proposal
Proposal summary
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Goals (What do you wish to do and for whom?)
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What specific use would you make of any funds granted to you?
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Total funds sought (all sources)
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$
Total request to The Davies Charitable Foundation
*
$
Funding currently in place
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Other sources to be solicited for funds
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Budget summary
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Additional comments
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