Sponsorship Request

    Contact details (phone & email) (required)

    Location of project

    Organisation name

    Registration Number (required)

    PBO number (required)

    Beneficiary Demographics: Race (required)
    Percentage African
    Percentage White
    Percentage Indian
    Percentage Coloured

    Beneficiary Demographics: Gender-Females (required)
    Percentage African Female
    Percentage White Female
    Percentage Indian Female
    Percentage Coloured Female

    Please provide an overview of the organisation for which you are requesting a donation/sponsorship.

    Please give details of your sponsorship request (you may attach a copy of your proposal if you have one)

    Donation value

    How will you recognise Fuchs' contribution if you are successful in obtaining a donation/sponsorship? (required)

    Please tell us about your corporate/organisational governance (required)

    Other information not included above you consider important to support favourable consideration of your request (required)