Please complete this form in respect of placing a request for the disbursement of Fundraising monies to your Sands Group.

Should you have any problems or queries completing this form please in the first instance email fundraising@sands.org.uk

All fields marked with an * are mandatory and you will not be able to submit this form until they are completed.

We will endeavour to deal with your request as quickly as possible following receipt of this form, but please do bear with us. We will email you directly using the email address you provide, once the calculations have been made to give an indication on when you are likely to receive payment.  Should you require an urgent disbursement please provide further details including reason, and timescale in the Notes box.