• Home
• About Us
  • History
  • Mission statement
  • Annual Report
  • Governance
    • Our Director
    • Council
    • Our Chief Operating Officer
  • QIMR fast facts
  • Strategic plan
  • New building update
  • For suppliers
    • Apply to become a supplier
    • Terms and conditions
    • Shipping information
    • Contacts
  • FAQs
• Our Research
  • Diseases and conditions
    • Cancer
    • Infectious diseases
    • Mental health and complex disorders
  • Research Departments
    • Biology
    • Cell and Molecular Biology
    • Genetics and Computational Biology
    • Immunology
    • Population Health
  • Research support and facilities
    • DNA sequencing and fragment analysis facility
    • Flow cytometry and imaging facility
    • HistoTechnology facility
    • Peptide facility
    • Q-Gen (GMP facility)
    • QIMR/RBWH Statistics Unit
  • Commercialisation
    • Contract research and development
    • Technology transfer
  • Participate in our research
  • Research history
    • 2008–2009 Research highlights
    • 1990s – Cancer research accelerates
    • 1980s – Exciting era of research
    • 1970s – Change of address and vision
    • 1960s – Ross River fever discovered
    • 1950s – Tropical diseases studied
    • 1940s – QIMR is created
  • Collaborations
  • Glossary of research terms
• Support Us
  • Why support QIMR?
  • Ways you can help us
    • Donate Now
    • Join the Rio Tinto Ride to Conquer Cancer
    • Join our Regular Giving Club
    • Join the Weekend to End Women's Cancers
    • Leave a bequest in your will
    • Purchase Christmas cards and hampers
    • Corporate partnerships
    • Workplace giving
    • Fundraise for QIMR
    • Attend a fundraising event
    • Tribute gifts
    • In memoriam gifts
  • Stories of hope
    • Brendan's story
    • Katie's story
    • Walking on Sunshine...and surviving cancer
  • Book a tour or guest speaker
  • Our supporters
  • Thanks to our donors
    • Donor Thank You Event
    • Wall of Appreciation
• Students
  • School students
    • High School Lecture Series
    • Laboratory work experience
    • Day in the life of a scientist
  • University students
  • Contacts
• News & Events
  • Media releases
  • E-newsletters
    • QIMR Link
  • Events
    • Conferences
    • Fundraising
    • Public Talks
    • Seminars
    • Tours
  • Lifelab newsletter
    • Lifelab archive
    • Sign up for Lifelab
  • Media centre
    • Fact sheets
    • Media contacts
    • Media releases
    • Multimedia
  • Annual Report
  • Multimedia
• Careers
  • Equal opportunity employer
  • Positions vacant
  • Information for applicants
  • Register interest
• Contact Us
  • Contact information
  • How to find us
  • Key contacts
  • FAQs
• QSkin
• CMV study
  • About CMV
  • Register to participate
  • Thank you
• Queensland Pancreatic Cancer Study
  • About QPCS
  • Investigators and collaborators
  • Participate in QPCS
• Australian Centre for Vaccine Development

• Why support QIMR?
• Ways you can help us
  • Donate Now
  • Join the Rio Tinto Ride to Conquer Cancer
  • Join our Regular Giving Club
  • Join the Weekend to End Women's Cancers
  • Leave a bequest in your will
  • Purchase Christmas cards and hampers
  • Corporate partnerships
  • Workplace giving
  • Fundraise for QIMR
  • Attend a fundraising event
  • Tribute gifts
  • In memoriam gifts
• Stories of hope
• Book a tour or guest speaker
• Our supporters
• Thanks to our donors

• Home
• Support Us
• Ways you can help us
• Fundraising registration form

Fundraising registration form

Thank you for your interest in fundraising for QIMR!

We look forward to hearing about your fundraising idea and we're really excited to help you become a step closer to running your own fundraising activity.

Please fill out your details below. 

 

 

Title

Mr Mrs Ms Miss Dr Prof Other

*First name

*Last name

*Individual/group

Home

Organisation/group

Organisation name

Job title

Department

*Address

*Suburb/Town

*State

Queensland New South Wales South Australia Australian Capital Territory Northern Territory Western Australia Tasmania Victoria

*Postcode

Daytime contact

Mobile

*Email address

*Security Check

Enter the text in the image above.