Register for a Fundraiser

If you'd like to register for a fundraiser, please fill out and submit this form. We'll confirm with you by phone or email before we send you a fundraising kit.

Organisation (Fields marked with * are required.)

Name *

Street Address 1 *

Street Address 2

Suburb *

State *

Postcode *

Contact Person * (Other than Fundraising Officer)

Phone

Fundraising Officer

Name *

Phone

Email *

Fundraising Event

Start Date *

How Many Flyers? *

The information gathered on this form will not be used for any other purpose.

How it Works | Fundraising Kit

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