FOR FISH EQUIPMENT DONATION FORM

    Owner Details:

    First Name:

    Last Name:

    Address:

    Address Line 1:

    Address Line 2:

    City

    State

    Postcode

    Owner Contact Details:

    Mobile Number

    Work Phone

    Other

    Preferred Method of Contact (Please Tick):

    Equiptment Details (Type of equipment, size dimensions as well as description of equipment condition)

    DONATION DECLARATION

    Declaration *

    I am the owner of the above mentioned equipment and declare that no other person has any property interest therein.

    I confirm that this equipment is in a workable condition, not declared as dangerous and there are no outstanding payments outstanding with regard to the equipment.

    By signing below, I certify that the information I have provided is accurate and truthful to the best of my knowledge.

    I confirm that I relinquish ownership of this equipment at no cost to For Fish.