AMYAC Members - AGM Assistance Form 1Your Details2Type of Assistance Name First Last Address* Street Address Town Postcode Phone*Email Please note: A copy of a driver’s licence or utility bill showing current residence is required to receive assistance. Please upload a scan of your license or utility billAlternatively, you can email a photo to firstname.lastname@example.orgAccepted file types: jpeg, jpg, png, gif, pdf, Max. file size: 128 MB. Where are you travelling from? Travel assistance required (please select) Fuel - who will be driving? (must have photo ID) Bus Ticket - concession number? (if applicable) Driver's Name* Concession Number (if applicable) Do you need food assistance?* Yes No Where would you like to redeem your food?* Port Augusta - Coles Coober Pedy - IGA Do you need accommodation assistance?* Yes No Accommodation request, and reason?Note: Elderly or disabled members will receive priority for accommodation assistance.