Donations - Australian-German Welfare Society Inc

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The Secretary
Australian-German Welfare Society Inc.
4th Floor, 24 Albert Road
South Melbourne VIC 3205
Donations for the Australian-German Welfare Society Inc.
ABN 98 245 957 640
Please complete form:
Mr./Mrs./Ms/Dr.…………………………………………………………………………...…..
Address
………………………………………………………………………………….
…………………………………………. Phone: …………………….……..
Donations:
 Administration
 Australian German Welfare Soc. Inc.
Relief Fund*
 Tabulam and Templer
Home for the Aged Inc. *
* Donations of $ 2 and over are tax deductible
$ ……………………..
$ ……………………..
$ ……………………..
Total
$ ==============
If you wish to pay with your credit card please fill in the following:
□ Visa
□ Mastercard
Creditcard Number: ………………………………………………………………………….
Expiry Date …………………..
Print Name of the Cardholder ………………………………………………………………
 Yes, I need a receipt.
 No, thanks, I don’t need a receipt.
Signature …………………………………………………………………………………….
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