Donation application form

This winter we’re pledging £100k to support local good causes.. we believe that no one should go hungry or lonely at Christmas. To help support your charity or organisation, please fill in the application form below:
1 Step 1

What social media channels do you have:


I confirm that I am authorised to make this application on behalf of the above organisation. I also confirm that the information given is accurate and correct. 

If this application is successful, by signing this form you agree to the following terms:

• The organisation will be bound to use the donation exclusively for the purposes specified in this application.

• If, due to unforeseen circumstances, the project outlined in this application does not go ahead, you are willing to return the full donation amount granted by Market Harborough Building Society.

• Market Harborough Building Society has the right to request copies of receipts/invoices at its discretion.

By submitting this form, you will be indicating your consent to publicity online and press releases about the donation (if successful).

For further details on how your personal information is used and how we maintain the security of your personal information, please refer to our Privacy Policy or contact the Society’s Data Protection Officer at or by calling 01858 412412.

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