Victorian Consolidated Regulations Victorian Consolidated RegulationsAUTHORISATION TO COLLECT CONTRIBUTIONS OR SUBSCRIPTIONS
I, the undersigned, certify that (full name) of (postal address) whose signature appears below is authorised under section 102 of the Country Fire Authority Act 1958 to collect money on behalf of the
*Fire Brigade
*Group of Fire Brigades
*Association
from / / to / / and is not entitled to retain any money as a fee or commission or for any other purpose.
Signature of Authorised Collector
(Signed)
(Signed) for the Country Fire Authority
Date:
Compliance with all laws relevant to the activities conducted is a condition of this authorisation.
* Cross out whichever is not applicable.