Address Eircode Contact name Role in Group Telephone number E-mail Website Alternative Contact name Alternative Telephone number Alternative E-mail Is your Men’s Shed affiliated with Irish Men's Sheds Association YES NO Year the Men’s Shed was established ________ Successful applications for funding under this programme will only be paid to the applicant organisation’s Bank Account. Please ensure you have your Bank Account details to hand if your application is successful. Charitable Status Number (if applicable): ___________________________________________ Tax Reference Number (if applicable): _____________________________________________ Tax Clearance Access Number (if applicable): _______________________________________ SECTION 2 Project Details – What will the funding be used for? When will the purchase be made? ________________
Address Eircode Contact name Role in Group Telephone number E-mail Website Alternative Contact name Alternative Telephone number Alternative E-mail Is your Men’s Shed affiliated with Irish Men's Sheds Association YES NO Year the Men’s Shed was established ________ Successful applications for funding under this programme will only be paid to the applicant organisation’s Bank Account. Please ensure you have your Bank Account details to hand if your application is successful. Charitable Status Number (if applicable): ___________________________________________ Tax Reference Number (if applicable): _____________________________________________ Tax Clearance Access Number (if applicable): _______________________________________ SECTION 2 – Project Details What will the funding be used for? When will the purchase be made? ________________