Fundraising application form

Required fields are marked with an asterisk *

First Name:*

Last Name:*

Email address:*

Phone:*

Alternate Phone:
Address:*

Suburb:*

State:*

Postcode:*

My local CQ:*

Would you like to be kept informed about Camp Quality?

Yes No

Title:*

Start Date:*
Start Time:

Please note that times are expressed in 24 hour format

End Date:*
End Time:

Please note that times are expressed in 24 hour format

Address Line 1:
Address Line 2:
Address Line 3:

Details:

Proposed involvement / representation of Camp Quality:

Estimated donation:

Qty
Camp Quality brochures:
Camp Quality collection tins:
Additional requests:

I accept the terms and conditions of the fundraising guidelines
I agree to conduct my activity / event in accordance with the details outlined in the above Fundraising Guide and in a manner that upholds Camp Quality's integrity, professionalism and ethos.

How You Can Help