Leuchie > Respite Breaks > Self-catering > Doddie Weir House > Local area funding

Grant Funding Form

Applies to Doddie Weir House only. Please book and make your deposit as normal. On satisfactory approval of your application your overall price (inclusive of the deposit) will be reduced to the 50% rate. If for any reason you do not meet the simple criteria for funding your deposit will be returned in full.

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About the applicant

Name(Required)
Address

How Can We Reach You?

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Holiday details

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Data protection statement: how we will use your information

We need to hold the information you give us on this form in order to ensure a fair application process and manage our support funding effectively. We will keep all your personal details secure. We will only use the information in order to consider your funding request and to help show our funders the impact their support is having. Your information will not be shared with any other third party without your consent.
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Keeping in touch

Completing the form on someone else's behalf

If you are completing this form on behalf of the applicant please complete the details below.
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How will you be funding the remainder of your break?

Please complete all sections of this form in order for us to be able to process your application.