Jersey Donation Form

A brief introduction to the appeal can be found here.

If you would like to donate a jersey or other item, please register your interest here. After you register you will receive an email explaining how to donate.

All clubs who donate to the appeal will have their own page which will feature a photo of their jersey and your own club information. You can enter the club information or description in this form.

Individuals who make donations also have the option of having their name listed as a donor.

Once registered you may post donations to
   
  Dubbo Rhinos Rugby Club
Orana Mall Post Office
DUBBO NSW AUSTRALIA 2830

 
  Item Information
1). Description of item you wish to donate.
  Jersey
 
Other (please specify)
   
2). The name of the club the jersey (or other item) belongs to. This text will appear on the site. Please do not use ALL capitals.
   
3). Please select the country the the above club is from.

if 'other' please specify...
   
4). OPTIONAL - If that country is divided into regions, please specify. It will help us organise the auction area.
   
5). Does the jersey have any special qualities? i.e. signatures, worn by famous player etc.
yes
no
   
6).

For club donations, info about your club.
For personal donations, info on where the jersey came from, how you got it etc.

   
   
  Donor Information
7). Name to display as donor (club of person). Enter this as you would like it displayed on the site. Having it displayed is optional.
(display on site? )
   
8). Your name.
   
9). Your email address
   
 
 

 
Supported by
See Letter of Support