Community Rewards Program Nomination Form 2020 GROUP NAME* Please indicate whether you are a :* Sporting club Community Group Association What type of activity does your club facilitate?:* Creative and performing arts Charitable fundraising Other - please specify Other - please specify TELL US A LITTLE BIT ABOUT YOUR GROUPWhich Post Code do you conduct your activities in?* How many members do you have?* Are you a not for profit organisation?* Yes No What will our sponsorship help you achieve?* New team jerseys or apparel ( must display Southlands Shopping Centre logo as sponsor) A team tour Prizes for a fundraising event Other - please specify Other - please specify What type of sponsorship will help you the most? *** Cash donation Southland gifts cards (can be used for prizes) Signed Penrith Panthers Merchandise (can be used for prizes) How will you promote Southlands to your members?* Southlands logo included on team jersey or club apparel Southlands banners displayed at your event or social media pages Promotion to your members via your website or social media pages Other - please specify Other - please specify Tell us in a few sentences why Southlands should support your team*Tell us what makes your club so special*APPLICANTS DETAILSName* First Last Phone*Confirmation* YES - I am over the age of 18 years YES - I am a registered member of the sporting group, club or association I am making the application for YES - I have read the Terms and Conditions Email* Terms and Conditions **Note: Nominations will be judged on merit and awarded a prize to the value and type determined by representatives from Southlands Shopping Centre. CAPTCHA Δ