Conservation Grant Application Form

Use the 'back' button to return.

The Society requires an application form to be completed to consider your application for a grant. It must be supported by an estimate from a recognised brass conservator.



Please complete the details below, then print the from using the browsers print button (or use the menu File ... Print ) then send the form and the estimate to:


Martin Stuchfield

Pentlow Hall

Cavendish

Suffolk CO10 7SP


 



APPLICANT (i.e. Body or organisation applying for grant)


Title

Surname

First Names

Address (inc postcode) 

Telephone

Fax

E-mail

CORRESPONDENT (i.e. Person for communications if different from above)

Title

Surname

First Names

Address (inc postcode) 

Telephone

Fax

E-mail

DESCRIPTION OF PARISH

POPULATION OF PARISH

NUMBER ON ELECTORAL ROLL

COUNTY

DIOCESE

BRIEF SUMMARY OF GRANT REQUIREMENT

Provide conservation report attached

ESTIMATED COST OF PROJECT

£

Provide quotation attached

OTHER GRANTS OBTAINED OR APPLIED FOR

OTHER CONSERVATION PROJECTS IN PROGRESS


SIGNED



............................................................................


DATE

NAME  OF SIGNATORY

POSITION OF SIGNATORY

This form should be returned to:

Martin Stuchfield,  

Hon Conservation Officer, Monumental Brass Society, 

Pentlow Hall

Cavendish

Suffolk CO10 7SP

Registered Charity No. 214336

Use the browser 'Print' button or the menu 'File .. Print' to print this web page

Copyright © 2002 Monumental Brass Society (MBS)

Page last updated 04 March 2015