donation form - St Hilda`s College

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ANNUAL GIVING
DONATION FORM
Donor Information
Name
Address
Suburb
Postcode
State
Country
Home Phone
Mobile
Email
Donation Information
I / we want to make an annual gift of:
Please direct my support to:
$100
$500
Other
$
Scholarships Fund
$1,000
$5,000
Principal’s Discretion
Enclosed is my cheque or money order (payable to St Hilda’s College) or
Please charge my credit card:
Expiry Date
Visa
Mastercard
/
Name as appears on card:
Acknowledgement Information
Please use the following name/s in all acknowledgements:
I / we wish for our gift and pledge to remain anonymous.
Signature
Date
THANK YOU FOR YOUR SUPPORT
Donations of $2 or more to St Hilda’s College initiatives in Australia are tax deductible for Australian taxpayers.
For further information contact Jane Harris:
Ph: (03) 9248 8423 Email: jharris@hildas.unimelb.edu.au
Please return this form to:
St Hilda’s College Development Office, 19 – 25 College Crescent, Parkville VIC 3052
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