Donation Request Form

The Parnham Group as a family and Australian company has among its most deeply rooted values to give back to the community the support that it has given it for 50 years. This donation request form is subject to the evaluation of the company's board of directors and the number of requests received at any given time. It is important that when filling it out, try to give us as much and detailed information as possible, as well as the circumstances surrounding your request.

About your organisation (or yourself)

Name of the Organisation (or Individual) *

Australian Business Number (ABN) *

Note: ABN must not contain spaces.

Address *

Suburb *

Postcode *

State *

Phone Number *

Email *

Is Your Organisation ACNC Registered?

ACNC Registration Number

How long has this organisation been in operation? *

What is the mission and the goals of your organisation? *

Estimated number of beneficiaries annually *

Please add your social media handles (Facebook, Instagram, Twitter, etc.) *

How did you hear about us?

About the Organisation Representative

Title *

First Name *

Surname *

Phone Number *

Email *

Position in the Organisation (Director, Spoke Person, etc) *

About Your request

Please indicate the nature and purpose of the donation request *

Donation required (please indicate the products and quantities required) *

Please elaborate on the pressing circumstances such a natural disaster, personal health issue or cause, which prompted you to request this donation. *

How will this donation be used? *

By what date do you require the contribution? *

As a representative of the organisation named above, I declare that the previous information is accurate. I hereby authorise the Parnham Group Pty Ltd to review, use and disclose the requested donation.