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BRFC Donation Request Form
Tell us about your fundraising event via the form below. Please note only successful requests will be contacted. Hit start to begin.
12
Questions
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1
Full Name
*
This field is required.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Main Contact Mobile Number
*
This field is required.
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4
Organisation Name
*
This field is required.
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5
Fundraising Event Name
*
This field is required.
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6
Event Date
*
This field is required.
Please enter Date, Month, Day of the week, I.e. Saturday 8 January 2022
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7
What you would like to be donated from the Brisbane Roar?
*
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8
Briefly state why you would like a donation from the Brisbane Roar?
*
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9
How will this donation from the Brisbane Roar benefit your organisation?
*
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10
When is your donation required by?
*
This field is required.
This date must be at least FOUR weeks from the date of submission.
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11
If you would like the Roar Active Program to be part of your Event, please confirm below:
Visit the
Brisbane Roar Active Program
website to see more information.
Roar Active Program
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12
Any comment or further request to include as part of your donation request:
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