Help A Mate Benefit Concert Application

Event organiser details

Country*
Email*
Confirm email*
Phone*

Beneficiary's details

Full Name*
Email*
Contact No.*
Is the beneficiary ill, injured or suffering hardship or distress? Please provide a brief summary*
Pls provide the name of the beneficiary's next of kin*
Bank Account holder's name
Account Number
BSB

Benefit Concert/Event information

Event name*
Event date*
Event location
Event description*
Cash handler's name (this must be a different person from the organiser)*
Cash handler's email*
Cash handler's phone*
What fundraising methods will you use?*
If you ticked 'Other' or 'Percentage of sales' please provide more detail here:
How many participants are you expecting?*
How much do you hope to raise?*
What are your estimated expenses?*

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