S4G logo Sefton 4 Good fundraising shop
Application form
Name of group
Contact name
Address (this should be the registered
address for your organisation if you’re
a registered charity or company)
Which geographical area does your
group/organisation cover?
Email
Telephone
Website (if applicable)
Twitter e.g. @Sefton4Good
Facebook page e.g.
www.facebook.com/Sefton4Good
Charity and/or company number (if
you have one)
Main aims/objectives of the
group/organisation. (No more than
50 words)
Items needed
e.g. Junior rugby kits – Socks,
shorts, shirts
Who will benefit from these items
and how? What difference will these
items make to the beneficiaries?
e.g. Local under 16’s rugby club
(couple of sentences only)
Total cost per item
e.g. one full rugby kit = £50
Quantity/how many of each item do
you require?
Deadline for receiving items (If
Ainsdale
Aintree
Bootle
Crosby
Formby
Litherland
Netherton
Maghull
Seaforth
Southport
Waterloo
Sefton wide
applicable)
Please send completed form along with jpeg images (no smaller than 500kb and no larger
than 1 megabyte) of items needed or your group to info@sefton4good.org
Donation Agreement
Conditions of acceptance of the Sefton 4 Good online donation appeal.
We accept and agree to adhere to the following conditions:1) We will only spend the donation money in accordance with our online donation appeal (i.e. only on
the items advertised)
2) We agree to spend the funding raised on the agreed items (detailed above) within a year of
receiving the donation.
3) We understand that there is no guarantee that if the total is not reached for our appeal within the
agreed timescale that the appeal/item will be removed from the Sefton 4 Good website. We
understand that we will either have to raise the remaining money required ourselves, and/or where
possible, Sefton 4 Good/Sefton CVS will support us in helping us reach our target.
4) We agree to use our own communication methods (e.g. word of mouth, e-mails etc) to help
promote our online donation appeal and Sefton 4 Good.
5) We agree to provide feedback to Sefton CVS / Sefton 4 Good on the online fundraising shop and
the benefit of the items purchased through the fundraising.
6) We will keep all records of the expenditure (such as invoices, receipts etc) and are happy to supply
copies if required to Sefton 4 Good / Sefton CVS.
7) We confirm that we have a constitution for our group/organisation, a bank account in the group’s
name with two unrelated signatories and a committee of at least 3 members. We understand we
will need to supply details of these in order for us to accept donations from Sefton 4 Good / Sefton
CVS.
8) We understand that the individual contact details of donors who donate to our appeal cannot be
passed onto us and agree to Sefton 4 Good e-mailing donors (unless anonymised) to thank them
for their donation. We agree that Sefton 4 Good will provide agreed contact details for our group to
donors so they are able to make contact with our organisation if they wish to.
9) We will be happy for Sefton CVS or Sefton 4 Good to visit our group/organisation as part of the
promotion, monitoring and evaluation of Sefton 4 Good.
10) We will reference the support of Sefton 4 Good, and use the Sefton 4 Good logo, in
communications and publicity in relation to resources Sefton 4 Good have helped fundraise.
11) We agree to gaining consent from project participants for photos/video that we take and are happy
to supply these Sefton CVS and Sefton 4 Good and to be able to be used to promote Sefton 4
Good in print and web publicity.
12) We can confirm that we have all the necessary insurance and policies and procedures required in
relation to the items/resources Sefton 4 good fundraise for and with us. (e.g. volunteers and staff
working with any vulnerable people are CRB checked and adhere to safeguarding policies and
procedures; that necessary risk assessment and health and safety policies are adhered to) and we
will supply copies of these if requested.
13) We will contact Sefton CVS / Sefton 4 Good with any questions or problems as soon as they arise
so they can be dealt with quickly.
14) We will repay any money unspent on items/resources Sefton 4 Good have assisted us to fundraise
if unspent within a year, to Sefton 4 Good.
15) We understand that if we don't meet these terms and conditions our donation/items may be
withdrawn and/or we will repay the funding raised to Sefton 4 Good.
We are authorised by the organisation to accept these conditions on their behalf. (Please
provide two different, unrelated signatories for your organisation)
Signature:
Signature:
Full
name:
Position:
Full name:
Date:
Date:
Position:
Please return this signed form to:
Samantha Smith, Sefton 4 Good, Sefton CVS, 3rd floor/North Wing Burlington House, Crosby
Road North, Waterloo L22 0LG
Tel: 0151 920 0726 x210 Email info@sefton4good.org