Variety, The Childrens Charity | young variety form

young variety form

Young Variety Form
Personal Details
Title: *	Mr Ms Miss Mrs Other
First Name: *
Surname: *
Street Address: *
City: *
State: *
Postcode: *
Telephone: *
Mobile:
Fax:
Email: *
Date of Birth: *
Personal Information
Occupation: *
Qualification / Skills: *
Details of previous fundraising work:
Do you have your own transport?: *	Yes No
Do you hold current clean driving licence?: *	Yes No
How far are you prepared to travel?: *
Fundraising
Member:	Yes No Interested in becoming
Areas of interest: *	Attending Events YV Hands On (working with children) Public / Media Relations Organising Auction / Raffle Items Selling Events Tickets Other
Availability: *	Weekdays 9am - 5pm Weekdays 5pm onwards Weekends 9am - 5pm Weekends 5pm onwards
How did you hear about us?: *	Word of mouth Newspaper Radio Internet Other
I would like to get further information about Variety
Further Information:	Yes No