Drought Relief Request Form


Please complete this form a minimum of six (6) weeks prior to your event and any print or advertising deadline. Please allow a response time of 15 working days following receipt of your completed forms.


  Organisation Details *Required Fields
Organisation ABN/ACN
Address* City/Suburb*
  State*    Postcode*  


  Contact Details  *Required Fields
Name* Email Address*  
  
  Phone no.*   Mobile Fax


  Sponsorship Details *Required Fields
  Reason for Request*
 
     
 

Please state proposed budget for air travel*

Please note that the basis of the partnership approach of the drought relief programme is based on Rex contributing $4 for every $1 put up by the eligible organisation for air travel on Rex.
This means that of the budgeted amount above, your contribution will be 20%. Upon receipt of your contribution, we will open up an account for the full budgeted amount to be used at your discretion for all air travel on Rex specifically as part of the drought relief programme at full economy fully flexible rates. At the end of every quarter, you are to give a report to account for the actual usage of the air travel.

 
     
  Period for Air Travel*    to  
   
 
Has Rex provided sponsorship in the past?
If yes, please provide details including dates  and value
   


Have you been in contact with a Rex representative?   

If yes, name of the representative     
   
In submitting this request form, I/we agree that the information provided is true and accurate and that I/we will abide by the terms and conditions of the Rex drought relief programme upon acceptance. Please note application forms must be submitted no later than 30 June 2008.