Community Investment Acquittal

This form should be submitted at the completion of your project or at the end of each financial year if you have an ongoing community investment arrangement. If you are using the 'Save and Return' function please ensure you copy and save the unique URL for your application that appears on the next page. You will also be given the option to have an email sent to an email address of your choosing. Please keep a record of your unique URL - we are UNABLE to resupply it.

Name*

First Last

Email*

Your Organisation's Name*

The Project's name*

Was the funding for an event, community investment of an organisation or for a purchase of some kind?

Date funds received

Funds received $

What was the amount you received from Warburton & Yarra Junction Community Bank?

Funds Acquittal-breakdown of $ spent*

Please describe how you spent the funds received.

Promotional Outcomes*

How did you promote Warburton & Yarra Junction Community Bank branches? (You might need to refer to the marketing initiatives you described in your community investment proposal.)

Summary of project*

In 50 words of less, provide a summary of the project

Address where project occurred*

Street Address Address Line 2 City State Postcode

Quote/expression of thanks to the organisation

Please provide a quote regarding the success of the project and value it has added to community. Please include the name and title of person quoted.

Photographs/logo

please send these by separate email to admin@upperyarra.net.au

Permission

Do you give permission to UYCE to use this statement and any images you provide in our promotion/marketing/annual reports?

Yes
No

CAPTCHA

VIP Notice

If you are using the 'Save and Return' function please ensure you copy and save the unique URL for your application that appears on the next page. You will also be given the option to have an email sent to an email address of your choosing. Please keep a record of your unique URL - we are UNABLE to resupply it.