LEADER EOI Form

GENERAL INFORMATION

Promoter Name:(Individual, Community Group, Organisation, other)

Main Contact Name:

Promoter Telephone No:

Promoter E-mail Address:

Promoter Address:

Promoter Eircode:

Tick the appropriate box *

Sole Trader/Private IndividualFarmerCompany Limited by GuaranteeCommunity/Voluntary Group

PROJECT INFORMATION

Project Location:

Estimated Project Cost:

Please give a brief description of the proposed project & Specify what you wish LEADER to fund:

I/We confirm that the details supplied are true and correct to the best of my/our knowledge.

• Completed forms can be emailed to leader@cldc.ie
• Hard copies can be posted to CLDC, Unit 1, Westgate Business Park, Kilrush Rd., Ennis, Co. Clare, V95 PXY3.
• A Development Officer from CLDC will contact you when your Expression of Interest Form has been reviewed.

Submit