First Name: Surname: Date of Birth:

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Daytime Phone Number: Mobile:

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Providing your email will help to reduce our administrative costs.

Daffodil Day Appeal School Order FormFriday 28 August 2020

events@cancerwa.asn.auEmail:

By submitting this form to Cancer Council WA: I confirm to the best of my knowledge the above information is correct. I confirm I will sell the merchandise items and raise funds for Cancer Council WA’s Daffodil Day Appeal.

We need to collect personal information to process your order, issue receipts, send you updates on how your support helps and conduct normal business. By providing your personal information, you agree that it will be used and disclosed by Cancer Council WA in accordance with this statement and our Privacy Policy, available at http://www.cancerwa.asn.au/notices/privacy. If you do not agree, (i) you must not provide your personal information; (ii) you may not be able to order; and (iii) we may not be able to provide certain services/products or communicate with you. We only disclose your personal information to external third parties (such as Cancer Councils in other Australian states/territories, or overseas software providers) where those parties assist us in carrying out our ordinary business operations and always in accordance with our Privacy Policy. We may use your personal information for our own direct marketing purposes, unless you opt out (which you can do at any time). Our Privacy Policy outlines how you may; opt out, access and seek correction of your personal information, or make a privacy complaint.

Don’t miss out! your order must be placed

by close of business Friday 14 August 2020!

Complete and return this form via email

OR

1300 65 65 85

Merchandise items are only available while stocks last.

All funds raised from merchandise items and daffodil bunches must be banked with your fundraising

funds online or over the phone.

Before submitting your order, you must be registered to host a Daffodil Day Appeal fundraiser. If you have not registered already, please visit daffodilday.com.au/get-involved.

Delivery address (no PO Boxes):

Order your Daffodil Day Appeal merchandise to sellMerchandise is at no cost to fundraisers for fundraising purposes only. Items that are not sold must be returned. Merchandise can be purchased upfront if unsold items are not being returned. Prices listed are the recommended retail price.

Qty PriceDaffodil Pin - these sell for $5 eachDougal Bear - these sell for $10 eachKeyring - these sell for $4 eachMagnet - these sell for $1 eachPen - these sell for $3 eachPeppa Pig Sticker - these sell for a gold coin donation

Shipping $7.00SUB TOTAL

Daffodils10 stems per bunch, 75 bunches in a box. Orders must be a minimum of 30 bunches. Bunches sell for $10 each.

Qty PriceDaffodil box N/ADaffodil bunch N/AShipping - Metro $8 per boxShipping - Regional $9 per boxShipping - Remote Please get in

touch with our team

SUB TOTALTOTAL

Please debit the above amount from my credit card:

Card no.

Cardholder’s name

Expiry date / Signature

Please send this form back via email with your credit card details.

Merchandise Range

Dougal Bear

$10

Keyring

$4

Pen

$3

Fresh Daffodil Bunch

$10

SupportDaffodil Day.Friday 28 August 2020daffodilday.com.au

Peppa Pig Sticker(Gold coin donation)

$1

Magnet

$1