1. Online Order Form

    Scratch and Support Cards

  2. Organisation Information
  3. Organisation or School Name*
    Please enter the name of your school or organisation
  4. Organisation Type*
    Please select your group type
  5. Organisation or School Address*
    Please enter your organisations or schools street address
  6. Address Line 2
    Please enter your organisations or schools street address
  7. Suburb*
    Please enter your suburb
  8. State or Territory *
    Please select your state or territory
  9. Postcode*
    Please enter your postcode
  10. Telephone*
    Please enter your phone number
  11. Facsimile
    Please enter youe facsimile number
  12. Postal Address (if different)
  13. Postal Address
    Please enter your organisations or schools postal address
  14. Postal Address Line 2
    Please enter your organisations or schools postal address
  15. Suburb
    Please enter your suburb
  16. State or Territory
    Please select your state or territory
  17. Postcode
    Please enter your postcode
  18. Primary Contact Details
  19. First Name*
    Please enter the first name of the coordinator
  20. Last Name*
    Please enter the last name of the coordinator
  21. Position*
    Please enter the position of the coordinator
  22. Daytime Phone*
    Please enter the daytime phone number of the coordinator
  23. Evening Phone*
    Please enter the evening phone number of the coordinator
  24. Mobile Phone*
    Please enter the mobile phone number of the coordinator
  25. Email Address*
    Please enter the email address of the coordinator
  26. Secondary Contact Details
  27. First Name
    Please enter the first name of the coordinator
  28. Last Name
    Please enter the last name of the coordinator
  29. Position
    Please enter the position of the coordinator
  30. Daytime Phone
    Please enter the daytime phone number of the coordinator
  31. Evening Phone
    Please enter the evening phone number of the coordinator
  32. Mobile Phone
    Please enter the mobile phone number of the coordinator
  33. Email Address
    Please enter the email address of the coordinator
  34. Fundraising Program Details
  35. Number of Participants
    Please enter the number of participants
  36. Event Organised By
    Please select one option
  37. Direct Sales Fundraiser
  38. Standard Card ($12.00 per card)
    Please enter the number required
    --Please enter the number required
  39. Scouts Card ($5 per card)
    Please enter the number required
    --Please enter the number required
  40. Custom Card with Logo ($12 per card)
    Please enter the number required
    --Please enter the number required
  41. Would you like to include a logo on your Scratch & Support Cards?($20 per order)
    Please select either $0 (no logo) or $20 (with logo)
    --Please select No or Yes
  42. Your Total Cost
    Invalid Input
    --This field is automatically calculated
  43. Date by which Scratch & Support Cards are required by your School or Group*
    / / Please enter a date
  44. Delivery Street Address*
    Please enter your organisations or schools deliery address
  45. Delivery Address Line 2
    Please enter your organisations or schools delivery street address
  46. Suburb*
    Please enter your suburb
  47. State or Territory *
    Please select your state or territory
  48. Postcode*
    Please enter your postcode
  49. Last Step
  50. How did you hear about us?*
    Please choose one option
  51. Would you like to join our mailing list?*
    Please select Subscribe or Unsubscribe
  52. Promo Code (if applicable)
    Invalid Input
  53. Terms and Conditions of Sale
  54. I have read and accept the Terms & Conditions of Sale*
    Please accept our Terms & Conditions of Sale