Fundraising Application form

Thank you for choosing to help fight cancer by fundraising for the Peter MacCallum Cancer Foundation. The funds you raise will play a vital role in advancing the search for cancer cures.

Fundraising legislation requires you to wait until this application is approved by Peter Mac prior to publicising, fundraising, or holding your planned activity. You will hear from us within five working days. If you have questions about submitting your application, please email This email address is being protected from spambots. You need JavaScript enabled to view it..

Title*

Please select your title.

First Name*

Please type your full name.

Last Name*

Invalid Input

Your date of birth*

/ / Invalid Input

E-mail*

Please type your email address.

Phone*

Invalid Input

Postcode

Invalid Input

Street address*

Invalid Input

Town or city*

Invalid Input

State*

Invalid Input

(optional)

Do you agree to the following statements:*

Yes, I agree No, please contact me to discuss Invalid Input

Do you have public liability insurance?*

YesNoUnsure. Please contact me to discuss Invalid Input

Publicity and maketing. Do you agree to obtain approval from Peter Mac prior to referencing or using the brand or logo? (Approvals should be sought for media releases, website content, printed materials etc.) Note: please allow five working days for approval of materials*

Yes, I agree Invalid Input

I declare that all details on this form are correct to the best of my knowledge. Please type your name to confirm.*

Invalid Input

I have read and agree to the Peter Mac’s Fundraising Terms and Conditions*

Yes Invalid Input

Fundraising Terms and Conditions

Want to organise your own fundraising activity for Peter Mac? Complete the below application form to get started.