Community display online booking form

*Event type/ theme

*Display start date

*Start time

*Display finish date

*Finish time

*Organisation

*Contact name

*Contact telephone

Mobile

*Email

*Display address

*Is your Display venue

Indoors

Outdoors

Both

*Are there tables and Chairs provided at the venue?

Yes

*Approximate Number of Attendees

*Gender

*Age Bracket

*Is there car parking available for Cancer Council Queensland staff?

*Postal address

*Suburb

*State

*Postcode

Where did you hear about Cancer Council Queensland community displays?

*Reason for booking

Any additional information

Privacy Policy

It is our policy to provide our supporters with information about our activities and from time to time request further support. We respect your privacy and will not pass your name to any other organisation. If you request no further mail from Cancer Council Queensland, your request will be honoured.

Printed from http://www.cancerqld.org.au/page/prevention/community_education/community_display_online_booking_form/
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