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Donation Form
“Food 4 Everyone”
Heartland International
ABN”: 27 111 873 404
Phone: 4737 3400 Email: food4everyone@hotmail.com Mobile: 0404 477 858
  
MAKING A DONATION
 
1) Credit Card: Print this page, fill in and fax or email back to our office:
 
Payment Options:
You can select a one off or monthly payment for Food4Everyone.
Frequency
Amount
Monthly (specify monthly amount)
$__________
One off donation
$__________
Total donation
$__________
 
Name on Card:           ___________________________________________
 
Card Number: ___________/___________/__________/__________
 
Expiry Date:    ________/________               Circle One: VISA / Master Card:
 
Signature:        ___________________________________________
 
2) Direct Bank Deposits or Transfers (Australia Only)
 
Heartland International ltd (Food 4 Everyone)
Westpac Bank
BSB: 034076
Acc:   263080
 
Please provide the following information so that we may contact you and send you your receipts:
 
Your Name: _______________________________________________
 
Your E-Mail: _______________________________________________
 
Contact Phone Number: _____________________________________
 
Postal Address: ____________________________________________
 
_________________________________________________________
 
FAX BACK TO: 02 4737 3401
International FAX: +612 4737 3401
All donations will appear on your credit card statement as “Global Development Group”, who support our project. All donations are of course tax deductible.