Community Support Fund

First Name

Last Name

Company

Phone Number

Email Address

Address Finder (Enter Eircode or Street Name)

Address Line 1

Address Line 2

Town/City

County

Eircode

Country

Explain your relationship with the Shepherd Group and/or Portakabin

What impact will this donation have on your community?

What impact will this donation have on the community in York (if any)?

Select category

Fill the other details

Input amount requested €

Include detail of how amount requested will be spent