Register your event Register Your Motoring Fundraiser Motoring Event Entrant DetailsPrimary ContactFirst Name*Last Name*Address* Street Address Address Line 2 City State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Postcode Email Address* Mobile Number*Variety Event*Please select which event you are fundraising for SA Variety Bash Variety 4WD Adventure Variety Moto Run Variety Aussie Muscle Car Run Car/Bike Number*Fundraiser DetailsFundraising Event Name*Would you like us to set up a Humanitix event for you?* Yes No Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Start time*End time*Location*Where will the event / activity take place?Venue*Event Address Street Address Address Line 2 City Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Type of Event*Is this event open to the public?* Yes it's a public event No it's a private event Please provide a description of the event / activity, including a budget showing expected revenue and expenses*Expected number of attendees or expected sales**number of tickets to sellIs there a ticket price?* Yes No N/A How much will tickets cost?*What ticket holder details do you require for this fundraiser?**Default details: first name, last name, emailWill you be producing any advertising material inc: registration forms, posters etc?* Yes No Upload Event feature image / banner Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 512 MB. *the recommended featured image for our event platform is 1000px (Wide) X 500px (High). Files to be either jpg, pdf or pngRafflesAre any raffles being conducted?* Yes No Price of raffle tickets*Number of tickets available*InsuranceDo you require this event / activity to be covered by Variety SA Inc. Public Liability Insurance?*Please note if Public Liability Insurance is required, please email [email protected] Yes No Other SupportDo you need to borrow any promotional items?* Yes No Eg. Variety flying banners, pull-up banners, corflutes or eftpos machineWhat would you like to borrow? 1 x Tear Drop Banner 2 x Tear Drop Banner 1 x Pull Up Banner 2 x Pull Up Banners 1 x Corflute Poster 1 x Eftpos Machine Please note: these may already be in use by other supporters. We will contact you with an alternative if they are not available. When would you like to Pick Up? MM slash DD slash YYYY When would you like to drop off? MM slash DD slash YYYY Please include any other relevent points of informationDisclaimer*The answers provided to the questions above are true and correct. I will notify Variety South Australia Incorporated of any changes to the event that will have an impact on any of the above questions. I agree to the Variety SA Fundraising terms and conditions I am aware that I must complete the Event Reconciliation Form in order for the funds raised to be attributed to my car / bike CAPTCHA Δ
