Community fundraising requests - Queensland Museum Kurilpa

Online request form
First name*
Last name*
Position (if applicable)*
School or Organisation name*
Address line 1*
Address line 2
Suburb*
State *
Postcode*
Country*
Phone
Email*
Which campus would you like a Family Pass for?

Queensland Museum Kurilpa (Brisbane)Queensland Museum Rail Workshops (Ipswich) Please note, QM Rail Workshops is closed until further notice. Alternative experiences can be offered until the museum is open again. Complete the form to discuss options.Queensland Museum Cobb+Co (Toowoomba)Queensland Museum Tropics (Townsville)
Date of event

DayMonthYear
How will this donation assist your event or fundraising activity? *
How will this donation provide positive social impacts in your local community? *
Upload letter of authority/approval to fundraise (doc, docx and PDF files accepted with a maximum file size of 3mb)

Cancelof
Privacy notice
Queensland Museum will only use the personal information you submit in this form to answer your questions, to provide you with the information you have requested or to make requests regarding your question. Further information about the types of information collected and stored by Queensland Museum can be found on our website: http://www.museum.qld.gov.au/privacy-and-security-statement.

Fields marked with an asterisk (*) are required.
Preferred contact and postal address for voucher

Please add the contact name and preferred address of where you'd like the Queensland Museum voucher to be posted.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Online request form

Preferred contact and postal address for voucher