Application for Memorial Subsidy

Please print out, complete and mail with supporting documentation
(Please note that every point must be addressed or applications will be returned)

Send to: Memorials Officer
ANZAC Day Commemoration Committee (Queensland) Inc.
PO Box 391
ASPLEY Q 4034
Organization  
Address


Postcode  
Contact person and position held  
Phone  
Fax  
Description of project  

Subsidy/Grant claimed: $..........

Enclosures and Other Information Enc #
Photograph(s) of item to be restored or of project if completed:  
Declaration that applicants are able to provide funds on a dollar for dollar basis to match subsidy claimed:  
Local Council and/or Trustees’ approval for project:  
Copies of Quotations/Invoices and Receipts attached:





 
Declaration (if applicable) that new memorials and halls will be, and extant halls are, associated with ANZAC Day observances:  
Evidence and/or declaration of support for ANZAC Day badge appeal:  
Declaration of any other subsidies applicable to this project:  

Signature:

Date:

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