Donation Form - Mary MacKillop Care SA

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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
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