Application to fundraise

Fundraisers planned by volunteers are a vital source of funds that help Ambulance Wish Western Australia continue its mission to fulfil final wishes for terminally ill West Australians. Please remember:

Submit your application at least 4 weeks in advance of your fundraiser. Once we receive your application, we will evaluate your fundraiser proposal for its appropriateness and benefit to Ambulance Wish Western Australia.

We ask that you allow 2-3 business days for your application to be reviewed by our fundraising coordinator. Once a decision is reached, we will contact you directly.

Name *

First

Last

Organisation (if applicable)

Address *

Telephone number *

Email *

Name of proposed activity *

Proposed date(s) *

Details of the proposed fundraising activity *

How will funds be raised? *

Your fundraising goal *

What proportion of funds raised will go to Ambulance Wish Western Australia? *

How will the activity be promoted? *

Name and address details for proposed venue (if applicable)

Website

Application to fundraise

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