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Yes, I would like my donation to be used where it is most needed!
Your name
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First name
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Name of Organisation (if applicable)
Your address
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Address line 1
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City/Suburb
State/Territory
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Email address
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Mobile Phone Number
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Payment method
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Please note: Direct debit from bank account is only available when making regular (e.g. weekly or monthly) donations.
Direct Debit from bank account (Australian only)-NB This can only be used for regular payments, not one off payments
Australian Issued Visa or Mastercard
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Amount (AUD)
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$
Recurring period
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One time
Weekly
Every 2 weeks
Once per month
4 Weekly
3 Monthly
6 Monthly
Annually
First payment date
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Comments
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