CHARITY COLLECTION - AUTHORITY PERMISSION

CHARITY COLLECTION

YOU MUST HAVE PERMISSION BEFORE YOU CAN REGISTER A STREET COLLECTION
Date*

DayMonthYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
NAME OF LOCAL AUTHORITY*
COLLECTION SPOT*
ie: SHOP NAME/AREA
Please confirm you have been truthful and honest regarding the information supplied for this street collection. You will need to upload a copy of the Local Authority and/or Shop Permission before you can continue registering your event.
I CONFIRM
Should be Empty: