Third-Party Fundraising

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Proposal to Fundraise

Thank you for supporting Arthritis & Osteoporosis WA. Please complete this form to receive your fundraising toolkit and Authority to Fundraise certificate.

Fundraiser's Details

Name:(Required)

First Surname

Name of Organisation (if relevant):

Address(Required)

Street Address Address Line 2 City State Post Code

Phone(Required)

Email(Required)

Have you fundraised for Arthritis & Osteoporosis WA before:(Required)

Yes

No

Please tell us why you have chosen to fundraise for Arthritis & Osteoporosis WA:(Required)

Fundraising Event Details

Please provide a brief outline of your proposed fundraising activity, including how you will fundraise (eg. Raffle, Quiz Night, Movie Night, Bake Sale):

If the event is to be held at a Venue, please provide Address details:

Street Address Address Line 2 City State Post Code

If it is a one-time event, please select the Event Date:

We understand that this may be an anticipated date and may change.

MM slash DD slash YYYY

Anticipated Start Time:

Hours

:

Minutes

AM/PM

Anticipated End Time:

Hours

:

Minutes

AM/PM

If it will be an ongoing event, please provide details of frequency, start date, and start/end times

Estimated Number of Attendees (if applicable):

Arthritis & Osteoporosis WA's Fundraising Regulations

Do you have Public Liability Insurance? If so, please upload a copy.

Max. file size: 100 MB.

Do you agree to follow Arthritis & Osteoporosis WA's Fundraising Regulations?(Required)

Yes

No

Consent(Required)

I/We have read Arthritis & Osteoporosis WA's Conditions of Fundraising and agree to abide by them.

Consent(Required)

I/We agree not to use Arthritis & Osteoporosis WA's logo without seeking consent.

Consent(Required)

I/We agree not to be involved in unlawful activity, violence or undue risk taking.

Consent(Required)

I/We indemnify Arthritis & Osteoporosis WA from liability incurred by Arthritis & Osteoporosis WA as a result of a claim arising out of an incident in relation to an activity conducted by me/us.

Consent(Required)

I/We agree to contact Arthritis & Osteoporosis WA before approaching organisations for sponsorship.

Consent(Required)

I declare that all details on this form are correct to the best of my knowledge.

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