Fundraising Registration Form

Personal Details

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Person to contact who is coordinating the event or activity
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Event Details

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no
Please be as detailed as possible.
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no
Please specify if you agree to allow QEI to promote or publish details of your event.
I agree
I agree to act in a professional manner in conducting the fundraising activity and uphold the integrity and values of the Queensland Eye Institute. I also accept my obligation to remit the funds raised to the Queensland Eye Institute within 14 days of the event conclusion. You will be contacted by a fundraising team member with the full terms and conditions for fundraising on behalf of QEI. Prior to publicising or conducting any event you must obtain Queensland Eye Institute's approval.

*Security Check
Security Check
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