Organisation Name
*
Name
*
First Name
Last Name
What is your position in the organisation?
*
Organisation Address
*
Street Address
Street Address Line 2
City
State
Postcode
Email
*
example@example.com
Phone
*
What type of donation are you requesting
*
Please select if the organisation you are applying on behalf of is a Deductible Gift Recipient (DGR) or registered charity
*
Deductible Gift Recipient (DGR)
registered charity
Please specify the Not for Profit or Charity organisation:
*
Will the fundraising be donated directly impact an existing not for profit or registered charity: *
*
Please specify the area in which your organization operates in i.e.: mental health, education, cancer prevention
*
Please select the type of event you are seeking support for e.g. Charity Gala, Luncheon, School Fete, Auction item
*
What is the purpose of the event?
*
Please provide the event name:
*
Please provide the event date:
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Where is the event held?
*
How will you acknowledge the assistance you receive? *
*
Please upload a ‘Request for Donation’ letter on your company letterhead. Please note, applications that are not on a company letterhead will not be approved.
*
Browse Files
Cancel
of
*All requests will be answered within 10 working days
Submit
Should be Empty: