If you are holding a community event and would like to request information or the attendance of a Cancer Council representative, please use the following form.

Community request form

Please provide a brief description of your request:*

How would you like Cancer Council Tasmania to be involved?

Deliver presentation

Sell SunSmart products

Provide information resources (brochures, pamphlets, posters etc)

Attend event

Other

Please provide any additional information about your event so we can understand your specific requirements:

Intended audience:

Health professionals

Workplaces

Primary school

Secondary School

College

Sports clubs

Families

Children

Mothers

General community

Local government

Early childhood centres

Senior citizens

Higher education

If you are holding an event, please answer the following questions

Event name:

Event start date

Event end Date

Event start time (including set up time)

Event end time (include pack up times)

Event location

Street Address

City

Event organiser(s)

Expected number of attendees (This can be based on past numbers of people attending)

Is your event outside?

Yes

No

Is your event smoke and alcohol-free?

Yes

No

Please list your event sponsors:

Is there a cost to Cancer Council Tasmania? If yes, please specify.

Contact details

Event contact person (First name)*

Event contact person (Last name)*

Postal address*

City*

State / Province / Region*

ZIP / Postal Code*

Phone

Email

Please select your closest Cancer Council Tasmania office:

Select from list

Launceston office

Hobart office

Ulverstone office

I have/have had a relationship with Cancer Council Tasmania as a sponsor/corporate partner.

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Read our Privacy Statement.

I have read and agree to the above Cancer Council Tasmania Privacy Statement*

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Cancer Council would like to acknowledge the traditional custodians of the land on which we live and work. We would also like to pay respect to the elders past and present and extend that respect to all other Aboriginal people.

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Cancer Council is registered with the Australian Taxation Office as an Income tax Exempt Charity. All donations over $2 are tax deductible.