MELBOURNE VICTORY FOOTBALL CLUB DONATION REQUEST FORM APPEARANCE CONTACT DETAILS: Contact Name: ________________________________________________________________________ Postal Address: _______________________________________________________________________ Suburb: ____________________________________ State:___________ Post Code:________________ Contact Number: ______________________ Email:___________________________________________ CHARITY DETAILS: Charity/Fundraiser Name: _______________________________________________________________ Charity mission statement/aim: ___________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FUNDRAISER EVENT DETAILS: FUNDRAISER EVENT DETAILS: Event (Auction/raffle etc): ________________________________________________________________ Date of event: ____/____/_____ Event venue: _______________________________________________ ITEM REQUESTED (please tick): ITEM REQUESTED (please tick): Signed Ball Signed Strip Stickers/Tattoo’s All requests for donations must be received by Melbourne Victory no later than 3 weeks prior to the scheduled event. Please note, due to the large number of requests Melbourne Victory receives for donations, not all requests will be able to be met. Please return completed form to: Email: community@mvfc.com.au Fax: (03) 8656 0799 Mail: Donation Requests Melbourne Victory Football Club GPO Box 4611 Melbourne VIC 3001