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If you would like to apply for a grant, for help with voyage fees, please fill
in the form below, PRINT it and sign it, before sending it to us.
Alternatively download the form here, or write to the trust for a copy of the form

James Myatt Memorial Trust  (JMMT)
5 Mumby Road, Gosport, Hants PO12 1AA
P: 02392 58 6367 F:02392 58 4661
Name:
Address:
Daytime No:
Evening /
Mobile No:
Email Address:
Date of Birth:
Name of Boat /
Organisation:
Their Address:
Date of Voyage:
From: - To:
Voyage Ref:
Total Fee:
Sum Required:
Action taken to try and raise the money:
List holidays away from home in the last two years::
Please provide two people to act as referees for your request:
(1) Name:
(1) Address:
(2) Name:
(2) Address:
I have not had any support from the James Myatt Trust Before:
Signed:
Date: