APPLY FOR A LICENCE 1: Applicant & Organisation Details Organisation Name * Primary Contact Name * Email Address * Phone Number (with country code) * Website or Social Media Page Country/Region of Headquarters * Physical Address * 2: Sector/Industry Selector What type of organisation are you? * Select Registered charity School Grassroots community group Government University or Education provider Business or Corporation Billing Details Billing Address (if different from above) Name to Appear on Invoice/Receipt * Purchase Order Number (if required for invoicing) Who Should Receive the invoice for this licence if different from above? Contact Name Email Address Phone Number (with country code) 2: Licence Tier Selection (pre-selected from previous page but editable) Which licence tier do you believe applies to your campaign? * Tier 1 - Community Licence (Free) Tier 2 - Internal Use ($500 USD) Tier 3 - Small Public Campaign ($1,000 USD) Tier 4 - Medium Public Campaign ($2,000 USD) Tier 5 - Major Public Campaign ($3,500 USD) * All licence fees are displayed in USD. Australian organisations will have 10% GST added at checkout or on their invoice 3: Usage Restrictions & Compliance Consent to Be Listed as a PFJ Licence holder (Optional Checkbox) We are proud to be part of the movement and grant permission to Plastic Free Foundation to identify us as a licence holder in its promotional materials and reporting. How Did You Hear About Us? Optional: How did you hear about Plastic Free July® or this licensing opportunity? Social media Referred by another organisation Google search Past participant Email from us Other 4: Final Declarations & Submission Agreement to Use Data Responsibly * I consent to Plastic Free Foundation storing and processing the information provided in this form in accordance with its Privacy Policy. Final Declarations * I confirm that I have read and agree to the Plastic Free July® Licence Terms & Conditions. Previous Next SubmitProcessing.....
