Fill in this form to advise of your intended pledge. More information on the - How to Donate

Fill in this form to advise of your intended pledge. More information on the - How to Donate - page

Your Name: *
Your Email: *
Contact Phone:
Street Address 1:
Street Address 2:
Town/Suburb:
Postal/Zip Code:
State:
Country: *
One time financial pledge ($):
Spec. Pledge: Micro Finance (A$100/US$86):
Spec. Pledge: Child Care Centre (A$1300/US$1125):
Spec. Pledge: Mini Van (A$10000/US$8600):
Spec. Pledge: Adopt an Orphan (A$45/US$39 per mth):
Regular Support: Frank & Linda's expenses (per mth):
Regular Support: Ministry expenses (per mth):
Regular Support: Teachers and resources (per mth):
Regular Support: Tech College Support (A$400/US$346 per mth):
Other Donations (Include amount and preferred focus):
I would like to view receipts for purchases, please:	Yes No