Your Name
Age
Phone
Email
Street Address
City
ZIP / Postal Code
What major event(s) or initiatives(s) are you working towards?
If you have a fundraising goal, how much do you need to fundraise in total, and how much have you raised to date?
Please give a brief overview of your recent achievements (up to 24 months):
Please upload here at least one photo you are happy for us to share on social media, our websites and/or for promotional purposes:
Max. file size: 12 MB.
If you have any supporting documents you'd like to share, please upload these here (e.g. letter of invitation):
Max. file size: 12 MB.
Should you be successful for a financial grant, please enter the bank account you would like funds deposited into:
Once we have received your application, we will be in touch within seven working days. If you don’t hear from us within two weeks please email enquiries@cookietime.co.nz
By submitting this application I confirm I am consenting to allow Cookie Time Charitable Trust, OSM & Cookie Time Limited to use the information and images supplied for social media, our websites and/or for promotional purposes:
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