Lawrence and Ann Pelley Trust Fund Application

Name of Requesting Community of Faith/Congregation/Outreach Ministry*
Contact Name*
First Last
Pastoral Charge/Outreach Ministry Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Community of Faith*
Other Ministry
Phone*
Email*
Enter Email Confirm Email
Reason for Requesting Funds*
Describe, in detail, how the funds will be used focussing on youth
Amount of grant requested is:*
Provide any further information the Financial Accountability, Investments and Trust Team should consider while reviewing your application.
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