Oz Bash Pty Ltd. 214 Victoria Road, Largs Bay SA 5016. M: Keith Finch - 0418 501 055

E: enquiries@ozoutbackodyssey.com.au W:www.ozoutbackodyssey.com.au

Oz Outback Odyssey Fundraiser Item Donation Form - supporting the Royal Flying Doctor Service

DONOR DETAILS

Thank you for your donation. We are truly grateful for your assistance of our fundraising efforts in support of the Royal Flying Doctor Service. Please complete as many details as possible below; if you have any questions or need to gather more information, you can 'Save and Complete Later' at the bottom of the page. If you require additional support, please email enquiries@ozoutbackodyssey.com.au.

Company name (if required on tax invoice / receipt):

First Name *

Surname *

Address (street number, street name, suburb, state & postcode) *

Mobile *

Email *

ITEM DETAILS

Please advise the number of items you wish to donate: *

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Item Description: *

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Please upload photo's of the item(s) here, or email to enquiries@ozoutbackodyssey.com.au.

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Please upload a high resolution copy of the donor logo (if applicable) or email to enquiries@ozoutbackodyssey.com.au

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Please provide any further information, questions or comments below:

Save and Complete Later