Application for Coach Education Part Funding 
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Your Venue Name *
Venue Address
*
Name of Applicant *
Position at your Venue *
Email:  *
Contact Number (s) *
Which aspect of grant funding are you looking for? 
(please refer to the link to criteria below and provide all required information to support your request)
*
Required
Total Cost of Project: 
*
Addition Information:  
Please include when (dates)  and where you are taking your course and state what coaching you will undertake at your venue once you have new qualification.  Also provide a contact name at your venue to confirm that they will be contributing 1/3 towards the cost of  your course.
*
Bank details 
Monies will be transferred with proof of certification and completion of the course.
Account Name:
*
Account No:
*
Sort Code:
*
Please email a copy of any relevant quotation and/or supporting documents  to:  
Denise Walker (BLTA Hon. Secretary)  Email: d.walker712@btinternet.com
Signed: *
Date: *
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