Request for voucher donation

This form is for requesting a donation of maximum £150 in vouchers.

If you need to request an amount greater than this, you will need to apply for a Community Grant.

Applications for more than £150 submitted using this form will be unsuccessful.

Please enter your full name below

Please enter your email address below

Please enter your phone number below

Select the region where your group is based

Please enter the name of the group / cause

If you are a charity, please enter the charity number

Value of voucher donation requested? (£)

To what address should the vouchers be sent?

Please tell us what the vouchers will be used for? If to support an event, where and when will this be held and roughly how many people do you expect to attend? We need around two weeks' notice to process vouchers and get them out to you.