Organisation Name

Tax ID / Tax Exempt ID

Address

City

State/Territories State/TerritoriesAsutralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

Postal Code

Email Address

Phone

Please tell us a little about your organisation

Name of Campaign

Fundraising Sales Goal

Program Start Date

Program End Date

Give your campaign a “charity-short-name” which will become a page in our website

Show your Organisation’s $ goal on your campaign page? Show your Organisation’s $ goal on your campaign page? Yes No

Show your current total raised $ on your campaign page? Show your current total raised $ on your campaign page? Yes No

Please tell us a little about your campaign