Charity, Community and Government Body Stall Holders Online Application

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Charity, Community and Government Body Stall Holders Online Application

Charity, Community and Government Body Stall Holders Online Application

Please read the Charitable Collections on Council Controlled Lands Policy before completing this form.

Liverpool City Council is committed to protecting your privacy. The personal information you provide on this application is being collected by Liverpool City Council for the primary purpose of assessing your eligibility for the selected permit. We may also need to contact you from time to time for directly related purposes. Your personal information will not be disclosed to any external party without your consent, unless required or authorised by law. Failure to provide the information required means your application will not be processed. If you wish to gain access to, or alter any information you have applied to Liverpool City Council whilst completing this application, please contact Council on 1300 36 2170.

* All mandatory fields must be completed

Applicant Details

Applicant Given Name(s) *

Applicant Family Name *

Applicant Telephone *

Applicant Email *

Name of Organisation *

Address of Organisation *

Postcode

List the name/s of the charities represented by the above organisation:

Is your fundraising organisation registered in Accordance with the Fundraising Act 1991?

No
Exempt
Yes

If yes above, please provide your Registration Number and the Expiry Date.

Activity Location, Time and Date

What type of Activity are you applying for approval to undertake?

Is the activity to be conducted on a Day of Significance? *

If yes, please provide the cause and date.

If no, please list your preferred dates and the Name of (each) Charity

At what time of day would you like to conduct this activity?

9.00am - 12.00pm
12.00pm - 5.00pm
All day (9.00am - 5.00pm)

Supporting Document Checklist

Please upload your Certificate of Currency (Public Liability Insurance) as this documentation must be provided to Liverpool City Council at the time of application.

CLICK HERE to upload your Certificate of Currency (Public Liability Insurance) *

No file selected

Statement of Acceptance

I declare that the information I have provided is true and correct. I have read, understood and agree to Liverpool City Council’s Fundraising permit ‘Charitable Collections on Council Controlled Lands Policy’ and wish to apply for the permit to use in accordance with these terms. I will ensure that the permit is not sold, transferred or assigned to another party and will be solely used for the purposes as stated. I agree to return the permit if my eligibility changes. I acknowledge any information found to be false in support of this application will result in my permit being cancelled.

Agreement *

Please tick here to acknowledge your agreement with the above statement.

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