Cultural Organisations Report - SAMPRA Development Fund

Phone

This field is for validation purposes and should be left unchanged.

This field is hidden when viewing the form

Name & Surname

This field is hidden when viewing the form

Email Address

Name of Organisation*

Name and Surname*

Email Address*

Cell Number*

Briefly describe the outcome of your event plan*

Have you had any specific challenges with the implementation of your project? Please explain.*

Briefly motivate for your payment*

Attach Invoices and proof of payments*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 450 MB, Max. files: 50.

Attach the following:

Event Images*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 450 MB, Max. files: 50.

Attach all media engagements.*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 450 MB, Max. files: 50.

Links to interviews*

Links

Comments

By signing this form, you confirm that:

All information provided is true and correct.
All supporting documents submitted are accurate and authentic.
Any information provided can be submitted for verification and vetting.
Should any information provided be found to be false, funding will be withdrawn immediately, and all costs incurred on your behalf will be claimed back from you.
You have read and understood the terms and conditions of funding.
Additional supporting documents may be requested if necessary.

Signature of recipient*

Signature Date*