Donation Box Request

First Name

Last Name

Organisation/Business Name

Postal Address

Address where donation tins will be displayed (if different from Postal Address)

Email Address

Phone Number

Other Comments

It is a requirement for RFDS to contact all donation box holders.

Do you agree to be contacted by the RFDS about your donation box?

Terms & Conditions

I agree to ensure the RFDS donation tin will be secured and in a location that it is not possible to be tampered with. All funds must be deposited every six months. All boxes are numbered and accountable. The donation box process is designed to keep accurate records for auditing and provide a level of protection for you. By taking a donation box, you accept that if a tin is lost or stolen, you will complete a Statutory Declaration & report the matter to the Police.

Yes

Supporter ID

The RFDS in QLD

* required fields