Register for the Coffee Cup Challenge

Fundraise for us

Join the Coffee Cup Challenge

Thank you for joining the Coffee Cup Challenge.

Use the form on the right to register.

You can also contact our Supporter Services team on 1800 668 426.

"*" indicates required fields

Are you registering as an*

Individual

Group

Congregation or group name*

Anticipated number of participants*

This is so we know how many collection boxes we should send you

Name*

First Last

Address*

Street Address Address Line 2 City/Suburb State / Province / Region ZIP / Postal Code

Email*

Phone number*

Special requests/comments

By clicking “Submit” I accept that my personal information will be handled in accordance with Uniting’s privacy policy.