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Does your business have less than 50 employees (including owners/directors)?
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I confirm I have sufficient funds to purchase the items for which a grant is required, note that a grant is paid in arrears on evidence of defrayal, and that no contract can be placed prior to a grant application being approved.
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Location of business is in: West Midlands (including Birmingham), Telford, Shrewsbury Staffordshire. Please specify, area & postcode
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Full Name
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Position
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Company Registered Name
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Company Address
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Company Phone
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Company Email
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Company Website (if applicable)
Company Registration Number (or Unique Tax Reference if Sole Trader)
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Description Of Business (include products & services
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Please give full details of what you intend to spend this grant on if you are successful and why you are looking to make that investment.
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Amount of match funding required / timeframe
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Signature
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