DONATION REQUEST FORM
Organisation:______________________________________________________________________
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Type:
Affiliated Association
Netball Club
Not-for-profit Organisation
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Charitable Event
Other:
Reason for Request: ________________________________________________________________
_________________________________________________________________________________
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Items Requested:
Signed Memorabilia
Melbourne Vixens Show Bags
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Quantity:_____
Other___________________________
Contact Name: ____________________________________________________________________
Mailing Address:___________________________________________________________________
Suburb/Town:____________________________
State:_______
Postcode:_______
Daytime Phone: __________________________
Email: ______________________________
Event Name:______________________________
Event Date:__________________________
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Are you a Netball Victoria member:
Yes
No Membership No._______________
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Are you a Melbourne Vixens member:
Yes
No Membership No._______________
Please return completed form to:
Mail:
Donations
Netball Victoria
487 King Street
West Melbourne VIC 3003
Fax:
03 9321 2233
Email:
.au
Please Note:
1. Completion of this form is a request only and does not guarantee a donation.
2. If successful the applicant is responsible for the cost of postage.