Charity Tickets Program

Name of Organisation *

Contact Name *

Your Position *

Email Address *

Phone Number *

Street address *Street address line 2

City *

State *

Postcode *

Name of Event *

Event Venue *

Event Date *DD-MM-YYYY

Event Details *

Number of Attendees *

Number of Requested Tickets *

Does a relationship already exist between your organisation and Queensland Theatre? *

YesNo

Please provide details of the relationship between your organisation and Queensland Theatre.

Acknowledgement of Partnership *