Mary MacKillop Care SA Ltd Care provided by The Sisters of St. Joseph since 1866 The Seven Steps to Donation I would like to support the work of Mary MacKillop Care SA in the provision of leading care options for senior Australians. Donations made to Mary MacKillop Care SA over $2.00 are tax deductible. Mary MacKillop Care SA is a Public Benevolent Institution and a registered Deductible Gift Recipient. Step1: I would like to make the following: (tick one or more boxes as applicable) A Once Only Donation Regular Donation In Memoriam Donation Celebration Donation Step 2: B Bequest Other My (our) Details for receipt and acknowledgement (please print or type) Title: First Name: Surname: Company Address State Postcode Country Phone: Email Step 3: I (we) would like to make a donation in the amount of $____________________ Step 4: Payment by: Cheque Credit Card MasterCard Visa Signature: Credit card number / Expiry date Name on card Step 5: Please repeat this deduction regularly on a: Monthly Quarterly Yearly N/A Please charge $______________to my credit card until I advise you in writing of my wish to cancel. Step 6: Acknowledgement Information: Please use the following name(s) in all acknowledgements: Step 7: Signature(s) Please ensure cheques/ postal notes made to: MARY MACKILLOP CARE SA LTD Mary MacKillop Care SA Ltd PO Box 2084 HILTON PLAZA SA 5033