FLOOD ASSISTANCE REQUEST FORM

The recent floods in western New South Wales and Queensland have seen millions of dollars worth of damage to crops and this is a devastating blow to growers who had been looking forward to a bumper crop after a decade of severe drought. Many of the affected communities are part of the Rex network and Rex sees the critical need to give back to the locals. As such, a fund of $200,000 worth of travel services for New South Wales and an additional fund of $200,000 worth of travel services for Queensland has been set aside for flood relief assistance.

If you are a community organization, relief agency or just an individual who need to travel to these communities to provide services and assistance to those directly affected, please send in your request by completing the form below.


Please allow a response time of 7 working days following receipt of your completed forms.


  Organisation Details *Required Fields
Organisation ABN/ACN
Address* City/Suburb*
  State*    Postcode*  


  Contact Details  *Required Fields
Name* Email Address*  
  
  Phone no.*   Mobile Fax


  Details of Air Travel Assistance Required *Required Fields
  Request*


Have you been in contact with a Rex representative?   

If yes, name of the representative     

   
In submitting this request form, I/we agree that the information provided is true and accurate.