Christ Church, Claremont National Trust Heritage Appeal I would like to support the appeal by donating to the National Trust of Australia (WA) Christ Church Claremont Heritage Appeal. Simply complete this form on the screen, print it, sign it and return it to: Christ Church Claremont PO Box 121 CLAREMONT WA 6910

Please accept my donation of (donations of $2 and over are tax deductible in Australia)

$25     $50     $75    $100     $500 other (please specify) $

 

I wish to make a regular donation of: Every

$10     $25    $50    $75     $100 other (please specify) $ month      quarter      year other period (please specify)

 

Personal Details (items marked * are required information)

Title:	Mr Mrs Miss Ms	State*
First name*:		Post code*
Last name*:		Telephone No:
Address*		E-mail address:
City*:

 

Payment details:

I would like to establish a Direct Debit from my bank account (see Direct Debit form below)   I attach a cheque/money order, payable to: The National Trust (WA) Christ Church Claremont Heritage Appeal   Please charge my credit card: VISA Bankcard MasterCard       Card number:     Exp date:  Name on card:       Signature:

 

Direct Debit (items marked * are required information): (This service is only available for recurring donations such as monthly ones and cannot be used for one-off donation)

I/we (name) request you, until further notice, to debit my/our account any authorised amounts which the Anglican Community Fund may debit or charge me/us through the Direct Entry system.
Bank name*:		Account name*:
Branch Address:		Signature(s)*
BSB*:	-	Date*:
Account number*		Name of the Parish to receive my/our gift:	Christ Church Claremont Heritage Appeal

In memoriam: Your donation can be made in memory of a loved one and recorded in our memorial gift book on display in the Parish Office Name of person to be remembered: