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Organisation Details

Organisation Name:

Organisation Type:

Sponsorship Activity Name:

Activity Location:

Contact Details

Name:

Position:

Phone:

Mobile:

Fax:

Email:

Postal Address:

Suburb/City:

State:

Postcode:

GST Status

ABN (if applicable):

*If your organisation is a branch of a National or State organisation, provide your 3 digit branch number.

Are you registered for GST?

Sponsorship Overview

Please provide a brief overview of the sponsorship activity:

Please provide details of the key dates and the timeframe of the sponsorship activity:

Is the sponsorship activity in or benefits and area where Shadforths operates?

Sponsorship Requested

What amount is requested for your sponsorship activity? (please include GST if applicable)

Does this amount include GST?

Please note any other levels of sponsorship:

Sponsorship Benefits

How will your organisation or the local community will benefit from this proposed sponsorship activity?

Who will derive the greatest benefits from this sponsorship activity? (eg. school children, farmers etc.)

Please provide any further details or information which will assist this sponsorship application.