Authority to Fundraise Application

Contact Information

Group/Organisation Name (if applicable)
Country
State / Province*
Address
City
Email*
Confirm Email*
Phone

Fundraising Activity/Event details

Name of Activity/Event*
Type of Activity/Event*
Activity/Event Overview*
Proposed Date of Activity/Event
Proposed Time of Activity/Event
Location of Activity/Event
Number of Expected Guests/Attendees

Application Acknowledgement

1) I have read and agree to Sylvanvale's Fundraising Terms of Agreement found on the Sylvanvale website and indemnify Sylvanvale from and against any claims for injuries or damage arising at or from the activity/event that is subject of this application.

2) I agree to conduct my activity/event in accordance with Sylvanvale's Fundraising Terms of Agreement and understand that Sylvanvale reserves the right to withdraw approval of this activity/event if I fail to do so.

3) I confirm that all information provided above is correct at time of submission and any changes made to the information after approval will be forwarded in writing to Sylvanvale for review prior to the activity/event taking place

Application Acknowledgement*
  • I agree to the above
Additional Comments

Security Code

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