Drug Arm Australasia

Section 15(2)
Collections for Charitable Purposes Act 1939

COLLECTION AGENT

Name of Licensee:
Licence Number:
Statement Period:	to
Contact Name:
Address:
Telephone:

	Gross Income Received from Charities $ (A)	Costs associated with income received $ (B) $	Gross Income collected on behalf of charities $ (C)
Section 6a Licence

(A)	Received from Charities including up-front costs and commission on amounts collected.
(B)	Costs of collections include the relevant proportion of any fixed or overhead costs.
(C)	Income includes: direct mail, telemarketing, general unsolicited donations, Internet donations, Badge/Flower/Token Days, door knock appeals, payroll deduction schemes, donations in memoriam and bequests actually collected by licensee.

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