Master Plumbers Cyclone Gabrielle Givealittle Fund Application Form

Complete this form to apply for assistance from the Master Plumbers Givealittle fund

Master Plumbers intends to use the information you provide to align the best possible support to our members who are in the most need.

https://givealittle.co.nz/cause/cyclone-gabrielle-master-plumbers-support

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* 1. What assistance do you require? (Select as many as necessary)

Financial

Labour

Equipment

Supplies

Wellbeing assistance

Other (please specify)

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* 2. Have your property or business assets been damaged by Cyclone Gabrielle?

Yes

No

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* 3. Please describe how you have been affected and how we can help

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* 4. Contact Name

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* 5. Company Name

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* 6. Contact Email

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* 7. Contact Phone Number

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* 8. Where are you located?

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* 9. If you have submitted this on behalf of someone else, please provide your name and contact information