Donation Form by HC12071506478

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									Donation Form                                               Donations of $2 and over are tax deductible


DONATION AMOUNT
Please tick:                  $10              $20          $50            $100             $200             $500

Other amount:            $



METHOD OF PAYMENT
1. Cheque or Money Order
Please attach your cheque or money order to this completed form and mail to Angel Flight Australia,
PO Box 421, Fortitude Valley Qld 4006.


2. Credit Card Donation
Please charge my credit card (please tick).          VISA            MASTERCARD



Expires:                /
Name on card:
Signature:
(No signature required if form is being e-mailed).


3. Direct Bank Deposit
Angel Flight Australia Fund
Westpac Bank
BSB: 034002
Account number: 669512
(Please attach the deposit slip STUB to this completed form)


4. Direct Debit Donation
To set up an automatic payment deduction from your account, please make arrangements with your bank.
So we may identify your donation please provide your bank with an instruction to clearly mark you as the
donor*.
Example: JOHN SMITH, BALLINA, NSW
* For direct debit donation my deposit will read:


RECEIPTS
If you would like a receipt for tax deduction purposes please fill out the following. This information will not be
used for any other purpose.
Company (if applicable)
Title                Given Name                                    Surname
Address


State                                                              Postcode
Phone No.

           - PLEASE EMAIL, FAX OR MAIL THIS COMPLETED FORM TO ANGEL FLIGHT -

                    We appreciate your kindness and accept this donation with gratitude.

                                               Angel Flight Australia
                  PO Box 421, Fortitude Valley Qld 4006 Ph: (07) 3620 8300 Fax: (07) 3852 6646
                 E-mail: mail@angelflight.org.au Web: www.angelflight.org.au ABN 43 103 477 069
                                              Toll free: 1300 726 567

								
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