Name of network: ......................................................................................................................................
Lead business contact: ..............................................................................................................................
Contact Address: ........................................................................................................................................
......................................................................................................................................................................
......................................................................................................................................................................
...................................................................................Postcode:
..................................................................
Telephone Number: ................................................
Email: ........................................................................
Is your network constituted with a bank account? Yes No
If no, please indicate who will be taking nancial responsibility for the project:
Name:
.......................................................................Position in Network: ...............................................
Contact Number: .....................................................Email: .......................................................................
Please give a brief overview of your business network (including how long it has been running/
purpose, area covered etc):
Please indicate the current number of members in the business network:........................................
Project name:
..............................................................................................................................................
Please provide an overview of the project and describe how this demonstrates added value to
what you are already doing?
Proposed start date:
...................................................................................................................................
Proposed end date: .....................................................................................................................................
Business Network Support Fund -
Application Form
© Communications Unit HDC 2017