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WA Screen Fund (Stage One) - Regional Scouting & Community Liaison

This is a preview of the WA Screen Fund (Stage One) - Regional Scouting & Community Liasion form. When you’re ready to apply, click Fill Out Now to begin.

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Applicant Details

* indicates a required field.

Applicant Name *

First Name	Last Name

Business Name

Position

Business Address *

Return to address search

Address line 1

Address line 2

Suburb/Town	State/Province	Postcode

Country

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.


Phone Number Email * Required Must be an email address. Applicant Primary Website Must be a URL.	Mobile Phone Number * Required Must be an Australian phone number. Other Email Must be an email address. eg info@yourorganisation.com

ABN (Not Applicable)

ABN *

The ABN provided will be used to look up the following information.

Click Lookup above to check that you have entered the ABN correctly.

Information from the Australian Business Register
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity Type	More information
ACNC Registration
Tax Concessions
Main business location

Must be an ABN.

Bank Account Details (Not Applicable)

Have you previously provided your bank account details to Screenwest? *

Response required.

Yes

I need to update these details

I will provide these details later

Clear the selected value for Have you previously provided your bank account details to Screenwest?

This section is not applicable because of your response to question: "Have you previously provided your bank account details to Screenwest?" on page 1

Bank Account *

WA Screen Fund (Stage One) - Regional Scouting & Community Liaison

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Applicant Details

ABN (Not Applicable)

Bank Account Details (Not Applicable)

Grants Information

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