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S4C

Application Form

Please note that an asterik (*) denotes a required field

Your personal details:

Are you a registered charity?

1. It is hereby agreed that all funds raised with assistance provided by S4C will be used only for the purposes stated in this application form.

2. I confirm that I have the authority to bind the above organisation to the terms of clause 1 above and if I do not then I will be personally legally bound to ensure that a sum of money equivalent to the funds raised with the assistance of S4C for the organisation is paid to them to be used for the purpose stated above.

© 2008 S4C
O Gymru / Made in Wales