Thank you for choosing to make a donation to Kidsafe Hunter.
Please fill out the form below, select print at the bottom of the page and send by mail or fax to the address at the bottom of the page.
Kidsafe would like to make this service Credit Card friendly.
If you are interested in sponsoring the set up of this service for the benifit of others using this page please contact Kidsafe Hunter.
Your Full Name/ Organisation: |
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Your Email address: |
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Telephone contact number: |
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Enter your address - Street: |
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Suburb: |
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City: |
Postcode: |
Country: |
I would like to make a Donation of: |
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$200.00 |
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$100.00 |
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$50.00 | |
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$20.00 | |
$ |
Other (Please specify) |
Please Print and fill in the below details by hand.
I enclose a cheque/money order for: |
$ |
Your Signature: |
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Date: |
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Mail to: Kidsafe Hunter
P.O. Box 580
Charlestown NSW 2290
Fax (02) 49424499
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