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Independent Retailer Application

Donations are given to local good causes to support of a variety of requests, such as specialist equipment, community events, and ongoing charitable work. 

To be eligible for support, your store must be committed to supporting the nominated good cause.

Please allow eight weeks for applications to be processed. 

Upon submission of your application, you should receive a confirmation email.

If you have not received a confirmation email within an hour of submitting an application it is likely that your application hasn't been received.

Please either try resubmitting your form or get in touch for further assistance: 0121 568 2910 / ksenter@afblakemore.com. 

 


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In the boxes below state your store’s involvement to the closest number (if applicable).


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Donations are awarded via BACS payments. Please complete the below details.

BACS donation to a nominated organisation or charity bank account.


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Please note that we will retain your details for up to 10 years, after which they will be deleted.