REINHOLD BEITLICH FOUNDATION

Grant application

Date*

Project title*

Name of organization*

Funding period*

Contact person

Salutation*

First name, last name*

Street address*

POSTCODE*

City*

e-mail*

Phone*

Brief description of the project*

Cost and financing plan

Own funds*

Grants*

Others

Total*

Expenditure

Material costs*

Fee costs*

Acquisition costs*

Others

Total*

Deficit/Application amount*

Account details

Account holder

Bank

IBAN