GAS AUSTRALIA

Equipment Loan Application

For help with this form or for any enquiries please contact 13 13 56 between
7.00AM and 6.00PM, Monday - Friday or email community.australia@atco.com

Prior to completing the request form please ensure you have read and understand ATCO’s Australian Community Investment Guidelines and the criteria on which applications are assessed.
Overview




Organisation Profile




Years




Organisation Address






Postal Address Details





Organisation Primary Contact





Communications




Equipment Loaner Program

Provide the event name, venue, city / town, date and time, and number of attendees anticipated.





Fundraising Program



Additional Documents
Please upload any supporting information you think may be relevant to your application.

Declaration
I, the undersigned, declare the information provided to be a correct and honest description of our organisation and the project or event for which funding is being sought.
 
Successful applicants will be entirely responsible for any indemnities and insurance required for the project/event.  ATCO and its subsidiaries/affiliates under no circumstances accept no liability for any accidents or negligence resulting in a claim or demand arising from sponsored project or event and exclude all such liability to the fullest extent permitted by law. Volunteers involved in any sponsored project or event must be covered by their own insurance or organisers’ insurance.


Privacy
ATCO Gas Australia collects this information for the purpose of providing our services to you. We may provide the information to our related entities and to third parties including local government, government authorities and other service providers. For more information on how ATCO Gas Australia collects, uses, holds and discloses your personal information, see our privacy policy at www.atco.com/en-au/privacy.html