The Dan Haslam Memorial Medicinal Cannabis Education Grant

The Dan Haslam Memorial Medicinal Cannabis Education Grant

Application to obtain tax deductible Sponsor Package
Organisation Details
Name of the Organisation
Contact Person in the Organisation

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

City State

Zip Code Country
Website URL
Sponsorship Packages available

Platinum Package $10,000 Gold Package $5,000
If you'd like to choose more than one package please add below and confirm total:
United in Compassion is a Charitable organisation with tax-deductible gift recipient status.

An invoice will be issued and a receipt provided on payment to allow for a claim for tax exemption.
Authorised Signature *
Thank you! You have just joined Olivia Newton-John, The Society of Cannabis Clinicians Australian Chapter, The Arterial Group, and United In Compassion in supporting this project.

We aim to do you proud!
Should be Empty: