Daramalan College Scholarship Fund Donation Form

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Scholarship Fund Donation Form
A donation for today.
I would like to help by making a tax deductible donation to the Daramalan College Scholarship Fund.
Daramalan College Scholarship Fund is endorsed by the Australian Taxation Office as a Deductible
Gift Recipient (DGR) and gifts of two dollars or more are tax deductible. For more information on
this, please visit the Australian Taxation Office website www.ato.gov.au.
A tax receipt will be issued.
Ongoing Pledge. I wish to offer an ongoing pledge to the Daramalan College Scholarship
Fund of ___________ per month/fortnight/week.
Once Only Donation. I would like to make a once only donation of $________ to support the
Daramalan College Scholarship Fund.
Annual Pledge. I wish to offer an annual pledge payable by 30 June each year to the
Daramalan College Scholarship Fund of $ __________ per year.
I wish to give to the Daramalan College Scholarship Fund in another way:
__________________________________________________________________________________
A bequest for the future.
Please tick one or more boxes below:
I have made arrangements for a bequest to the Daramalan College Scholarship Fund.
I intend making a bequest to the Daramalan College Scholarship Fund and would like more
information.
I would like to discuss how my bequest could best assist the School
I would like to be kept informed about the activities of the School
Thank you for your generosity. Your support will always be appreciated and will help develop and
educate future generations of Daramalan College students.
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Your details
Name: ____________________________________________ Class of: (if applicable) ____________
Address: __________________________________________________________________________
__________________________________________________________________________________
____________________________________________________ Postcode______________________
Telephone: (______) ________________________________________________________________
Mobile: ___________________________________________________________________________
Email: ____________________________________________________________________________
Signature: _________________________________________________________________________
Date: ____________________________________________________________________________
Acknowledgement
Please provide information below on how you would like to be acknowledged. If you wish for your
donation to be anonymous please leave this section blank.
Name details: (total 22 character limit. Includes space between initials and surname.)
Example: Initials and name (and alumni year, if a former student)
J
B
R
O
W
N
C
L
A
S
S
F
A
M
O
F
L
Y
1
9
7
1
Example: Family or Group name
T
H
E
B
R
O
W
N
I
Payment Details
If you have chosen to donate, please select how you would like to make your payment (see overleaf)
and return this form with your cheque or banking details as appropriate.
Post to:
Daramalan College Scholarship Fund
Daramalan College
PO Box 84, Dickson, ACT, 2602
Phone (02) 6245 6334
Email scholarships@daramalan.act.edu.au
All information provided and discussed will be treated confidentially.
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Donation Payment Options
All donations of $2 or more are tax deductible. A tax receipt will be issued for all donations.
I have enclosed my cheque payable to the Daramalan College Scholarship Fund.
or
Please debit my credit card for $ _______________________________________
Visa
Expiry Date
Mastercard
/
CSV Number
Cardholder’s signature: _______________________________________ Date: __________________
or
Direct Debit: Please email scholarships@daramalan.act.edu.au to request a copy of our
Direct Debit Request Agreement Form.
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