Fundraise Offline

Fundraiser Title *

Name of Organisation or Company *

Supporter Name or Key Contact (Key contact in relation to this agreement) *

Supporter/Key Contact Address *

ABN

Supporter/Key Contact Role/ Job Title

Supporter/Key Contact Telephone Number *

Supporter/Key Contact Email Address *

Supporter/Key Contact Website (if applicable)

Fundraising Appeal - Provide a brief overview of how you propose to raise funds for Harrison Riedel Foundation Limited

Donation – On what basis will the donation be calculated? Please note: in line with current fundraising regulations, this must be specific. E.g.: $1 from the sale of every item. This cannot be calculated or expressed as a percentage of the ‘net’ income obtained and must be clearly communicated to consumers.

Fundraising Period (Date and time of appeal)

Payment Due by (Payment should be made 14 days from the end of your event)

How did you hear about us *

Please Specify *

Why did you decide to raise funds for Harrison Riedel Foundation Limited?