Help A Mate Appeal application

Your details

Email*
Confirm email*
Phone

Beneficiary's details

Full Name*
Contact No.*
Email*
Is the beneficiary an Australian citizen or permanent resident?*
  • Yes
  • No
Has the beneficiary worked professionally in music (now or previously)?*
  • Yes
  • No
Is the beneficiary ill, injured or suffering hardship or distress? Please provide a brief summary
Please provide the name and contact details of the beneficiary's next of kin

Appeal Details

What are you planning to call your online appeal?
How are you planning to spread word about the appeal?
How much are you hoping to raise in an online appeal?
Please tell us how the funds raised through the appeal will be spent

Please nominate a bank account where any money raised is to be paid. These details will only be used by Support Act to transfer the money and will not be stored.

Account holder's name
Account Number
BSB

Once we have approved your application we will ask you to send us a photo of the beneficiary and a short bio for inclusion on the website alongside the appeal details.

Security

Powered by eTapestry