Customised Fundraising Form

Customised Fundraising Form (Order Form)

Complete and submit this form if you would like us to customise your order form that you will give to participants.

First Name

Last Name

Name of Organisation

Delivery Address

Email address

Contact Phone Nos 1

Contact Phone Nos 2

Confirm fundraising drive to be undertaken:

Donut Drive only

Pie & Cake Drive only

Both Donut & Pie/Cake Drive

Other

Name of fundraising event as you would like it printed on the form

What date do participants need to return completed order forms and money for? (Allow at least 1 week prior to your delivery date)

What date would you like Loftus Pies to deliver your order? (No Monday deliveries, confirmed order to be emailed at least 7 days prior to delivery date)

Will your participants be paying by (select all that apply):

For cheque payments – what name should participants make their cheques out to?

For EFT transfers please provide instructions to be printed on order forms