About You Name* Must be at least 18 years old
First
Last
Mobile*
Daytime phone
Email*
Position
About Your Organisation Organisation Name*
Is your organisation a* Please Select School Early Learning Centre Sporting club Other club Community group NFP/Charity Other
Who is organising your event?* Please Select P&C/P&F School Club Other
Address*
Treasurer’s Name
First
Last
Treasurer’s Mobile
Treasurer’s Email
Fundraising Products Select a fundraiser you would like to book* Raffles Details Number of Participants*
Do You Want 10 Ticket Books?* Holiday Destination* Gold Coast - Standard Book Quantity* Please Select 120 Books, two (2) nights, $100 Caltex Card 150 Books, four (4) nights, $200 Caltex Card 240 Books, five (5) nights, $200 Caltex Card 320 Books, seven (7) nights, $200 Caltex Card 200 Books, four (4) nights, $1,000 Flight Centre Voucher 300 Books, five (5) nights, $1,000 Flight Centre Voucher
Fiji - Standard Book Quantity* Please Select 240 Books, four (4) nights, $1,500 Flight Centre Voucher 240 Books, four (4) nights, $2,000 Flight Centre Voucher 300 Books, five (5) nights, $1,500 Flight Centre Voucher 300 Books, five (5) nights, $2,000 Flight Centre Voucher 400 Books, seven (7) nights, $1,500 Flight Centre Voucher 400 Books, seven (7) nights, $2,000 Flight Centre Voucher
Hamilton Island - Standard Book Quantity* Please Select 240 Books, four (4) nights, $1,000 Flight Centre Voucher 300 Books, five (5) nights, $1,000 Flight Centre Voucher 300 Books, five (5) nights, $1,500 Flight Centre Voucher 300 Books, five (5) nights, $2,000 Flight Centre Voucher 400 Books, seven (7) nights, $1,000 Flight Centre Voucher 400 Books, seven (7) nights, $1,500 Flight Centre Voucher 400 Books, seven (7) nights, $2,000 Flight Centre Voucher
Flight Centre - Standard Book Quantity* Please Select 120 Books, $1,000 Flight Centre 120 Books, $2,000 Flight Centre 200 Books, $2,000 Flight Centre 200 Books, $3,000 Flight Centre 300 Books, $3,000 Flight Centre 300 Books, $4,000 Flight Centre 400 Books, $4,000 Flight Centre 400 Books, $5,000 Flight Centre
Cost Including GST
Extra Books
Price: $ 1.50
Quantity:
Extra Books Cost
Total Number of Books
Total Cost
$ 0.00
Date books required*
Date Format: DD slash MM slash YYYY
School/Organisation name*
Sub-Group or activity
For instance P&C Association, P&C Fete Raffle, Major Club Raffle
Logo Declared status number VIC only
Permit number ACT & WA only
Date monies, ticket stubs (including unsold tickets) to be returned*
Date Format: DD slash MM slash YYYY
Where money and tickets are to be returned to?* For example, school office, tuckshop, clubhouse.
Ticket sales close*
Date Format: DD slash MM slash YYYY
Date raffle to be drawn*
Date Format: DD slash MM slash YYYY
Event Name
Address*
Billy G's Cookie Dough Details Number of participants*
Number of order forms required*
Date order forms required*
Date Format: DD slash MM slash YYYY
Fundraiser start date*
Date Format: DD slash MM slash YYYY
Fundraiser end date*
Date Format: DD slash MM slash YYYY
Delivery date for cookie dough*
Date Format: DD slash MM slash YYYY
(please allow 14 days for delivery from the day that you order)
Is the address for delivery of the order forms and cookie dough different to organisation’s address above?* Delivery address
School Colour Explosion Run Details Option* Number of students*
Number of sponsorship forms required*
Number of classes*
Date sponsorship forms required*
Date Format: DD slash MM slash YYYY
Fundraiser start date*
Date Format: DD slash MM slash YYYY
Fundraiser end date*
Date Format: DD slash MM slash YYYY
Final date for return of sponsorship forms*
Date Format: DD slash MM slash YYYY
Date of event*
Date Format: DD slash MM slash YYYY
Is the address for delivery different to the organisation address above?* Delivery address
School Run4Fun Details Option* Number of students*
Number of sponsorship forms required*
Number of classes*
Date sponsorship forms required*
Date Format: DD slash MM slash YYYY
Fundraiser start date*
Date Format: DD slash MM slash YYYY
Fundraiser end date*
Date Format: DD slash MM slash YYYY
Final date for return of sponsorship forms*
Date Format: DD slash MM slash YYYY
Date of event*
Date Format: DD slash MM slash YYYY
Is the address for delivery different to the organisation's address above?* Delivery of Forms Address
Hamilton Sunscreen Details Number of carry packs required*
Total Cost (inc GST)
Number of Participants*
Date carry packs required*
Date Format: DD slash MM slash YYYY
Fundraiser start date*
Date Format: DD slash MM slash YYYY
Fundraiser end date*
Date Format: DD slash MM slash YYYY
Is the address for delivery of the carry packs different to organisation’s address above?* Delivery of carry packs
Plant-A-Difference Details Number of participants*
Number of sponsorship forms required*
Date sponsorship forms required*
Date Format: DD slash MM slash YYYY
Fundraiser start date*
Date Format: DD slash MM slash YYYY
Fundraiser end date*
Date Format: DD slash MM slash YYYY
Final date for return of sponsorship forms*
Date Format: DD slash MM slash YYYY
Is the address for delivery different to the organisation address above?* Address for delivery
Final Details Promo Code
if applicable
How did you hear about us* Please Select Internet Search Received Catalogue in the Mail Fundraising Directory Purchased Product Trade Show Word of Mouth Yellow Pages Google Paid Ad Other
Consent - Billy G's Gourmet Cookie Dough* I have read and accepted the Terms & Conditions of Sale
By placing this order you have agreed to conduct a Billy G’s Gourmet Cookie Dough Fundraiser with BLC International Pty Ltd trading as Australian School & Club Fundraising Specialists™ and Billy G’s Gourmet Cookie Dough™.
Consent - School Colour Explosion Run I have read and accepted the Terms & Conditions of Sale
By placing this booking you have agreed to conduct the School Run4Fun Colour Explosion Fundraiser with BLC International Pty Ltd trading as Australian School & Club Fundraising Specialists™.
Consent - School Run4Fun I have read and accepted the Terms & Conditions of Sale
By placing this booking you have agreed to conduct the School Run4Fun Fundraiser with BLC International Pty Ltd trading as Australian School & Club Fundraising Specialists™.
Consent - Raffle Fundraiser I have read and accepted the Terms & Conditions of Sale
By placing this order you have agreed to conduct a Raffle Fundraiser with BLC International Pty Ltd trading as Australian School & Club Fundraising Specialists.
Consent - Hamilton Sunscreen I have read and accepted the Terms & Conditions of Sale
By placing this booking I have agreed to conduct a Hamilton Sunscreen Fundraising Program with BLC International Pty Ltd trading as Australian School & Club Fundraising Specialists.
Consent - Plant-A-Difference I have read and accepted the Terms & Conditions of Sale
By placing this booking you have agreed to conduct the Plant-A-Difference Fundraiser with BLC International Pty Ltd trading as Australian School & Club Fundraising Specialists™.
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