EI Foundation Grant Application

Name(Required)

First Last

Email(Required)

Phone(Required)

Charity Name(Required)

ABN(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What does the Charity do for the community?(Required)

Why do you want to support this Charity?(Required)

ACNC Registration(Required)

Max. file size: 20 MB.

Please attach a copy of the Charity’s ACNC Registration – Please reach out to [email protected] if you are unable to find a copy

Deductibile Gift Recipient Status(Required)

Max. file size: 20 MB.

Please attach a copy of the Deductibile Gift Recipient Status – Please reach out to [email protected] if you are unable to find a copy