Fax Bequest Formmasonces2022-09-11T12:00:24+00:00 Please enable JavaScript in your browser to complete this form.123Section 1: Please provide your contact detailsPlease provide your contact detailsContact Name *Email Address *Position/Title *Preferred Phone Number *Are you a Freemason, a family member of a current freemason or connected with Freemasonry? *YesNoPlease provide details to be verified *Unfortunately, this fund is only available to children, grandchildren, nieces, and nephews of a freemason or deceased Freemason *NextSection 2: Applicant DetailsYour Full Name *Your physical street address & postal addressAddress *City *State *Postcode *Date of Birth *Student number or ID *Are you a current student? *YesNoPreviousNextSection 3: About your requestFunding amount requested? *When are the funds required by? *Describe the purpose and outcome you expect from the request. *Will the work be undertaken in South Australia or the Northern Territory? *Please articulate why you need support from a charity and what other alternatives you explored. *Please attach your plan or written submission. *Attach my planWritten submissionAttach your plan Click or drag a file to this area to upload. Written Submission *If you are a successful applicant, do you permit us to promote you as a recipient of funds from the organisation? *YesNoDeclaration by ApplicantWe understand and certify that we have been authorised to submit this application and that the information contained therein is, to the best of our knowledge, true and correct. *YesNoSubmit