CHARITY PROPOSAL FORM

Date:	__________________________________________________________
Organisation Name:	__________________________________________________________
Nature of Organisation:	__________________________________________________________
	__________________________________________________________
Address:	__________________________________________________________
	__________________________________________________________
Postal Address:	__________________________________________________________
	__________________________________________________________
Contact Telephone:	__________________________________________________________
Facsimile:	__________________________________________________________
Website Address:	__________________________________________________________
Email Address:	__________________________________________________________
Board/Committee members:	__________________________________________________________
	__________________________________________________________
Sponsorship Proposal:	__________________________________________________________
Date Commence:	__________________________________________________________
Date End:	__________________________________________________________
Cost (excl. GST):	__________________________________________________________
Details:	__________________________________________________________
	__________________________________________________________
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General Comments:	__________________________________________________________
	__________________________________________________________
Contact Person:	__________________________________________________________
Contact Telephone:	__________________________________________________________
Contact Email Address:	__________________________________________________________
	__________________________________________________________

Please attach supporting documents.
Sign:	_______________________________________________
Date:	__/__/_____

Please allow approximately one week for a response to your proposal.

Regards,
Campbelltown Mall Centre Management