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Independent Retailer Application

Donations are given to local good causes to support of a variety of requests, such as specialist equipment, community events, and ongoing charitable work. 

To be eligible for support, your store must be committed to supporting the nominated good cause.

Please allow eight weeks for applications to be processed. 


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In the boxes below state your store’s involvement to the closest number (if applicable).








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Cheque donations awarded must be banked within six months of issue date to be valid.

Please note that we will retain your details for up to 10 years, after which they will be deleted.