Rural Travel Fund Application

B. Contact Details
C. Organisation Details
D. Financial Information
Are you registered for GST?

E. Travel Information
F. Declaration
We hereby declare that the information supplied here on behalf of our Organisation is correct.
We consent to Tararua District Council authority collecting the personal contact details and information provided in this application, retaining and using these details and disclosing them to Sport NZ for the purpose of review of the rural travel fund. This consent is given in accordance with the Privacy Act 1993 * (required)

Please Attach