Request for financial support

Do you have a material project for which you would like to ask us for financial support? It’s this way! Important : Before completing this form, please have the following documents ready. These will be requested in order to complete your request:

In PDF format

In JPG or PNG format

If you have any questions, please contact Séverine Laneau by e-mail on our contact page, or by telephone on 02/655.49.35.

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1ORGANIZATION
2YOUR PROJECT
3SUMMARY

Official name of your ASBL

Head office contact details

(enter your number without international prefix, spaces, "." or "/")
Name
E-mail
(please enter a valid URL)

Your Organization

Checkboxes
Please read these conditions carefully, as they describe the types of projects that are eligible for a grant.
10 digits starting with 1 or 0
Date of incorporation
(published in Moniteur Belge)
Describe in concrete terms in max. 100 characters the purpose of your association
Your beneficiaries are :
What type of people does your NPO look after?
Whole number - no decimals - round to nearest whole number

Files

Click or drag a file to this area to upload.
Click or drag files to this area to upload. You can upload up to 4 files.