Corporate Sponsorship Sign Up Form
Application date
-
Month
-
Day
Year
Date
Organization Details
Name of the Organization
ABN/ACN
Contact Person in the Organization
*
First Name
Last Name
Position in the organisation
E.g. Marketing assistant, PR Consultant
Phone Number
*
E-mail
*
example@example.com
Organisation Address
*
Street Number and Street Name
Suburb/Town
City
State
Postal / Zip Code
Country
Sponsor Website URL
*
Sponsor Social Media URL e.g. Instagram/Facebook/Twitter
File Upload: Please upload your logo in high resolution. If you are unable to upload it now please email it to info[@]pinkcross.org.au.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Sponsorship Selections
*
prev
next
( X )
Gold Package Sponsorship
$
10,000.00
AUD
for each
year
Silver Package Sponsorship
$
7,000.00
AUD
for each
year
Bronze Package Sponsorship
$
5,000.00
AUD
for each
year
Sponsor Safe House
$
5,000.00
AUD
for each
year
Sponser Hampers
$
2,500.00
AUD
for each
year
Sponsor Education
$
2,500.00
AUD
for each
year
Preferred Payment Method
*
PayPal
Credit Card
Bank Transfer/EFT
Cheque/Money Order
Cash
Signature of person completing this form
*
Print Form
Save
Submit
Should be Empty: