Please accept my gift for the St Vincent de Paul Society

Please find enclosed my gift of $______________     (Please fill in amount)
I enclose my cash, cheque, or money order or please charge my:

Master card	[__]
Visa card	[__]	Please tick relevant box
Bankcard	[__]
Credit Card Number:									Expiry Date
|__|__|__|__| - |__|__|__|__| - |__|__|__|__| - |__|__|__|__|									____/____

Amount: $_____________	Signature _____________________________
Title (Mr., Mrs., Miss., Ms.)	_______
Given Name:	_______________________	Surname: _______________________
Date of Birth:	_______________________

Postal Address:	_________________________________
	_________________________________			Postcode: _________
Phone	(H): _________________		(W): _____________________
Email Address:	_________________________________

Please make cheques payable to St Vincent de Paul Society and send them to :

PO Box 573, Wentworthville NSW 2145

Or Phone through your donation on:

Ph: (02) 9689 1900

 DONATIONS ARE TAX DEDUCTIBLE

 

Your receipt will be mailed to you

 THANK YOU

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[_] The St Vincent de Paul Society follows the National Privacy Principles. If you do not wish your details to be used for future fundraising activities undertaken by the St Vincent de Paul Society, please tick this box.

[_] I would like to know more about remembering the St Vincent de Paul Society in my Will. Please send me some more information.

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