Please enable JavaScript in your browser to complete this form.Name *FirstLastContact Number *Email *Which county are you located in? *What is the name of your charitable or community organisation? *What does your charitable/community organisation do? *How does it benefit the people or the environment of North Wales? *What would you use this funding for? *What would it mean to you if you were to receive this funding? *Please confirm *I have read the Terms & ConditionsSubmit Terms & Conditions Please ensure you read the Terms & Conditions before submitting your application.