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Request For Assistance
AUSTRALIAN HEAD OFFICE
Aussie Helpers Charity
PO Box 405
Charleville QLD 4470
Australia
PHONE
1300 665 232
EMAIL
admin@aussiehelpers.org.au
Personal Information
Property Owner’s Christian Names
*
Surname
*
Property Name
*
Property Address
*
Postcode
*
Which Shire is your property located in:
*
Postal Address
*
Postcode
*
Mobile Phone
*
Home Phone
*
Email Address
*
Ages and Genders of school Children
*
Do you require any assistance with school expenses?
*
Yes
No
Please attach your current School Invoice.
*
Max. file size: 256 MB.
Do you or your partner “work off farm”?
*
Yes
No
Are you a Primary Producer?
*
Yes
No
Property Details
PIC Number
*
Acreage (Ha or Ac)
*
Number of Cattle
*
Please enter a number from
0
to
9999
.
Number of Sheep
*
Please enter a number from
0
to
9999
.
Other Stock
Assistance Required
Stock Feed
*
Yes
No
Water
*
Yes
No
Household Goods
*
Yes
No
Animal Feed Supplements
*
Yes
No
Fuel / Grocery Vouchers
*
Yes
No
Do you think you would benefit from confidential councelling support?
*
Yes
No
Please give us a brief outline of your situation
*
Do you have any other concerns that we may be able to assist you with?
Other Assistance Received
Have you received any of the above assistance from any other charity in the past six (6) months
*
Yes
No
How we Help
Aussie Helpers Feed A Farmer
AHVise Educational Program
Aussie Bush Farming Kids
Aussie Farmers Family Support
Lend a Hand
I want to Volunteer
I want to Fundraise
Shop
Contact
About Us
Who We Are: The Aussie Helpers Story
Meet the team
Annual Report
Cart
Donate
