Name ____________________________________________________________
Address _________________________________________________________
____________________________________ Postcode ___________
Ph _______________ Email_______________________________________
I enclose a check/cheque for $_________________ or
[ ] Bankcard [ ] Mastercard [ ] Visa [ ] American Express
Card No __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __
Expiry date ______ / ______
Card holder name _________________________________
Signature ________________________________________
All credit-card donations are tax-deductible in the U.S. and Australia.
* All donations are tax-deductible in the U.S.
* Make checks payable to Benevolent Organisation for Development, Health & Insight or BODHI.
* Tax-deductible donations. Make cheques out to BODHI Australia Overseas Relief Fund.
While not tax-deductible, these donations are extremely valuable, permitting flexibility in usage, for example for administrative or newsletter production costs.
____ I would to make a direct-debit donation every month of:
____ $25 ____ $50 ____ $100 ____ Other
Financial institution ___________________________________________
Financial institution address ____________________________________
Account name _______________________________________________
BSB No. _____________ Account No. ___________________________
Signature ________________________________ Date ______________
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