$
 
 
 
 


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On submission, you will receive an email confirmation.

Fields marked with an * (asterisk) are mandatory.
If more than one donor & amount, please complete details in the comments box on this form.

 

 

 

 

 

 

 

 

 

 

 

 

 
Fields marked with an * (asterisk) are mandatory.
Your Details
 
Name for Receipt
*
Contact: First Name
*
              Last Name
*
Postal Address
*
Suburb/Town
*
State (in full)
*
Country also in full (not abbreviated)
*
Postcode / Zip
*

Contact
 
Telephone (incl. area code)
*
Facsimile (incl. area code)
Mobile / Cell
Email
*
Web site


Payment
 

DONATION AMOUNT:

$ *
CURRENCY:

Guide to Payment Processing
Payments are scheduled for our next processing date, and

Monthly donations are processed around the same day of the month as the initial payment
.

 

My Donation to go to
(include project
"J Number"
)

 

*
Credit Card Details
 

NOTE: Some Credit Card issuers may charge an additional fee for this credit card donation.
Please note that DEBIT CARDS ARE NOT ACCEPTED.

Card type
*
Card number
*
Name on Card
*
Expiry date
*
Security CVV number. (3-4 digit number on front or back of card)
*
 
Comments
 

Please enter any other instructions or comments here.

Receipts are emailed unless you request a postal receipt above

Note that the projects you are donating to are usually in Australian Dollars. We process most credit card donations through our Australian office so your donation may be a few dollars higher or lower than what you enter, depending on the exchange rate of the day. If funds raised exceed the requirement for this project, the funds may be directed to a similar project.



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