Application for a Street Appeal or Fundraising Permit

Q.1

Title

First Name

Last Name

Q.2

Charity funding for:

Q.3

If you are an organisation operating on behalf of a charity, provide the organisation name and company details here:

Q.4

Attach contract or letter of acceptance from organisation you’re working on behalf of:

Q.5

Registered Charitable organisation number:

To look up your Registered Charitable organisation number please follow the link below:
https://www.register.charities.govt.nz/CharitiesRegister/Search

Q.6

Phone number: *

Phone Number

Q.7

Email address: *

Email

Q.8

Proposed area for street appeal: *

(Please note New Plymouth District Council bylaws allow an organisation to collect only once in a location within a 7 day period)

Westown
Moturoa
Fitzroy
Bell Block
Waitara
Inglewood
Other:

Q.9

Start date: *

You must apply for an on-street fundraising a minimum of 28 days before the planned activity

DD
/

MM
/

YYYY

H
:

Mins

Q.10

End date: *

DD
/

MM
/

YYYY

H
:

Mins

Q.11

Name of person responsible for coordinating street appeal, who will be in the New Plymouth district during the appeal: *

First Name

Last Name

Q.12

Phone number of person responsible for coordinating street appeal, who will be in the New Plymouth district during the appeal: *

Phone Number

Q.13

If you are setting up a stall outside a property, you will need permission from the adjacent business operator. Please attach confirmation below:

Q.14

Please add any additional Information below:

E.g. number of collectors, stalls or advertising material