Donations and sponsorships application

Organisation details

Name of organisation applying for support *

Date established *

Is this organisation a nonprofit or for-profit entity? *

Type of organisation *

Organisation description *

Give a brief overview of the organisation, core objectives, reason(s) for starting and how your goals are achieved. Character limitation: 1 000 characters

Does your organisation have public benefit organisation (PBO) status in terms of section 18A of the income tax act? *

Is your organisation a registered non-profit organisation (NPO)? *

Footprint

Select the name of your country *

Select your province *

Select your preferred brand *

Physical address and information of organisation

Street name and number *

Suburb/Township *

Province *

Postal code *

Website

Facebook

Twitter

Instagram

Personal information

Please select a title *

First name *

Last name *

Email *

Invalid email address

Confirm email *

The emails you entered do not match

Phone number *

e.g. +27 12 345 6789

Invalid phone number

Role/Position within the organisation *

Details of Support

What do you need dupport for? *

Please describe how the funding will be spent and include estimated numbers and costs.
Character limitation: 500 characters

How will our support benefit the local community and / or our business? *

Character limitation: 400 characters

Please provide details of all donations received to date *

Please state dates and amounts received.

Please list the names of your organisation's current partners/donors/funders *

References

Provide details for two references who can be contacted regarding your organisation's work

Reference #1

First name *

Last name *

Phone number *

e.g. +27 12 345 6789

Invalid phone number

Email address *

Invalid email address

Reference #2

First name *

Last name *

Phone number *

e.g. +27 12 345 6789

Invalid phone number

Email address *

Invalid email address

I confirm that the details provided are true and correct and that I have the authority to do so. See the Shoprite Group's Data Privacy Statement here. *