Registration Form

Contact details

Second contact details (required)

Event details-

Details on what type of activities that will be undertaking at the event:

Do you permit the media to be present if arranged?
Yes
No

Would you like an Interchange representative present at our event?
Yes
No

What motivated you to host a Sunny Sizzle?: Where did you find out about The Great Australian Sunny Sizzle?

Would you like a Sunny Sizzle Pack?
I would like to purchase a Sunny Sizzle pack for $20
(For details on the pack’s contents visit www.interchange.org.au)

OR

I would like to be posted a free Sunny Sizzle information booklet (You can also download the information booklet from www.interchange.org.au)
Would you like to order any merchandise?
(You can view merchandise at www.interchange.org.au)
Yes
No


Payment Options

Total amount owed= Merchandise+ $20 Sunny Sizzle Pack+ 10% GST
TOTAL:$
Cheque/money order (please make payable to Interchange Victoria)
Bank deposit (please email/fax/post us notification of your deposit)

Account Name: Interchange Victoria
Bank : Westpac
BSB : 033 177
Account number: 510 058


Thank you for registering to hold a Sunny Sizzle. By hosting this event you are assisting Interchange to raise awareness of the needs of young people with a disability and their families, as well as the fantastic volunteering opportunities within Interchange. For more information visit our website at www.interchange.org.au. Submit
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