Charity and Raffle Quilts | Queensland Quilters

Application for Assistance: Charity and Raffle Quilts

Queensland Quilters Inc offers support to Affiliated Groups with assistance towards the cost of making quilts for charities or raffle quilts where the proceeds go to a nominated charity

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Applications close on 30th April 2018

Affiliated Group Name *

Contact Name *

Number of Members in Group *

Email Address *

Phone Number

Mobile

Project

On behalf of the above Affiliated Group, I wish to apply for assistance from Queensland Quilters Inc for the following project

Radio Buttons *

Charity Quilt in support of

Raffle Quilt in support of

Single Line Text

Funds Required

Maximum $250

Items to be purchased *

Amount *

Item to be purchased

Amount

Item to be purchased

Amount

Total *

Amount *

Bank Account Details

Funds will be transferred to this Bank Account, if approved

Account Name *

BSB *

Account Number *