Application Form for Authority to Fundraise

Name of Group/Company/Individual planning the event ("the fundraiser") (required)

ABN (if company)

Name/s of individual/s responsible (required)

Mailing address

Mobile (required)

Email (required)

Name of activity (required)

Overview of event (required)

Date of event (required)

Time of event (required)

Location (include address) (required)

How many people are expected to attend? (required)

Does the event require public liability insurance? (required)

YesNo

Does the event require council/government permits? (required)

YesNo

Will a raffle or fundraising permit be required? (required)

YesNoNot sure

Will the event cross into other states? (required)

YesNo

If yes, which ones?