Fundraising Proposal
Title
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Mr & Mrs
Mr
Mrs
Ms
Dr
Prof
Miss
Sir
First Name
Last Name
Are you doing this on behalf of a company?
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Yes
No
Company Name
Email
Phone (please include your area code)
FUNDRAISING DETAILS
Have you raised funds for the ACRF before?
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Yes
No
Name of Fundraiser/Event
Description of the activity or event including venue or location
Proposed date / timeframe of your fundraiser
Support ACRF in its mission to outsmart cancer
Relative or friend affected by cancer
I have personally been affected by cancer
Other
How much money do you aim to raise for the ACRF?
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$1 - $999
$1,000 - $4,999
$5,000 - $9,999
$10,000 or more
Are you over 18?
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Yes
No
Tick to confirm that you have read and agree to abide by fundraising guidelines and legislation (found on the right of this form).