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Library
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Application for Donation 2026/2027
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Title of Event / Project:
Organisation Name:
Postal Address:
Email:
Date(s) of the proposed event/project:
.
Town
Cobar
Canbelego
Euabalong
Euabalong West
Tilpa
Mount Hope
Nymagee
Will this be an annual event/project?
YES
NO
Contact Name:
Position in Organisation:
Circle which best suits your organisation:
Service
Culture
Sporting
Charity
Not for Profit
Other
Other:
Description and benefits to Cobar:
Will the event/project support charities?
YES
NO
What is the $ or % of profit being given to charity?
Charity Name:
Amount of funding requested from Council ($):
Total cost of event/project ($):
Funds available at present ($):
How are funds to be raised?
Is funding from Council likely to be requested in the future?:
YES
NO
Has Council previously assisted your organisation?
YES
NO
If yes, what was the amount and dates for the assistance?
Public Liability Insurer Name:
Upload Insurance:
Amount Covered ($):
Applicant Signature:
I acknowledge that I have read, understand, and agree to the
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