Questionnaire - Fundraising Proposal - NEW

Title

First Name*

Last Name*

Date of Birth

Name of Company / Organisation / Group (if applicable)

Company*

Position within Company / Organisation / Group (if applicable)

ABN (if applicable)

Address

Suburb

State*

Postcode

Preferred phone number type*

Preferred phone number*

Fax

Email*

Confirm Email *

How did you hear about Bowel Cancer Australia?*

Name of your fundraiser (e.g. title of your fundraising event or function)*

Brief description of the fundraising activity *

Proposed venue / location of the event or fundraising activity *

Proposed start date of the event or fundraising activity *

Proposed end date of the event or fundraising activity*

Proposed Time(s)

Why did you decide to raise funds for Bowel Cancer Australia?*

How much money do you aim to raise? (approx). Please enter numbers only (no $, comma or decimal place).*

Bowel Cancer Awareness Ribbons can be purchased online.

Fundraising Rules & Regulations*

I acknowledge having read and agreed to the fundraising rules and regulations outlined in Bowel Cancer Australia’s Fundraising Guidelines and indemnify Bowel Cancer Australia from and against any claims for injuries or damage arising from the event, product or service.

Bowel Cancer Australia's fundraising guidelines