Community fundraising application form • Lifeline WA

Get involved in your community

We find the most successful events are those that reflect the interests and lifestyle of the Community Fundraiser Champion (that’s you); Love to bake? Host a bake sale or morning tea in your office; Trying to get fitter? Run a 12km/half marathon and ask friends and family to sponsor you. Please fill out the fields below to complete your Community Fundraising application.

Today's Date(Required)

First Name(Required)

Last Name(Required)

Email Address(Required)

Mobile Number(Required)

Company

Address(Required)

Street Address City State Postcode

Why would you like to become a Community Fundraiser for Lifeline WA?

What sort of Community Fundraising event are you interested in organising?

Do you require anything from Lifeline WA?

Do you give Lifeline WA permission to use photos for Social Media purposes and for use in Lifeline WA documents/ advertisements?(Required)

It’s ok if you don’t know all the answer to these questions yet. Sometimes you know you want to get involved and do something, but you are not sure of what that is yet. Give us a call and tell us a little bit about yourself or your company and we can get you started. We are here to help so please don’t hesitate to get in touch.