Address: AFL House 140 Harbour Esplanade, Docklands, VIC, 3008, AU
Telephone: 0418 670 886

Fill out the form below and one of the FightMND team will be in touch very soon.

Register a fundraising event

Register your fundraising event by filling in the form below and a member of our team will be in contact with you to work with you to make your event a success

First name*
Surname*
Email*
Are you registering this event as an individual or business?*
Unit/Street no.*
Unit/Street no.
Street name*
Street name
City*
State*
Postcode*
Mobile/contact number*
Date of Birth*
This is required for fundraising compliance. If you are under 18, please ensure you get a parent or guardian to fill in this form on your behalf.*
Do you have a connection to MND?*
Tell us why you are fundraising for FightMND*
How did you hear about FightMND?
Have you held a fundraiser for FightMND before?
Name of your proposed fundraiser
Start date of the your proposed fundraiser
Event venue
Event overview
How many do you anticipate will attend?
How much do you expect/hope to raise?
How do you hope to achieve this goal?
Please list any expenses associated with you event*
Please explain how you plan to cover expenses associated with your event
Do you require a copy of the FightMND logo for promotional materials?
Do you agree to obtain approval from FightMND prior to using our logo/branding?*
What is your preferred method of contact?
Agree to the terms and conditions?*
Please indicate whether you agree to the terms and conditions
I agree to speak with FightMND before undertaking any media opportunity relating to this event*
I/we agree to speak to FightMND before approaching organisations for sponsorship*
I/we agree not to be involved in illegal activity, violence, aggression or undue risk taking
I/we have Public Liability Insurance*
DECLARATION
Full name*
Submission date*

Register your FightMND fundraising event

Register a fundraising event

DECLARATION

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