Charity Application

You are making an application to become an affiliate charity partner.

There is no cost associated with completing this application.

Once your application has been received it will be reviewed and you will be contacted via email.

Charity name *as it appears on Charity Commission registration *

Charity No. (England and Wales) *

Charity No. (Scotland) *

Charity name (Common Use Name) *

Post Code *

Address Line 1 *

Address Line 2

Town *

County

Charity email (Generic) *

Charity website *

Logo *

Charity telephone *

Financial year end date

VAT number (If applicable)

JustGiving ID

Account number

Sort Code

Account Name

First name *

Surname *

Role Title *

Your Email address *

Your mobile number *

First name *

Surname *

Role Title *

Email address *

Mobile number *