Donation Form

Please fill in the form, print it and send it to the address below.

Donation detailsPlease select the amount you would like to donate:
$15 $30 $50 $100 $150 $200 other

Other amount - I would prefer to give: $

Payment detailsI enclose my:
Cheque Money Order

or debit my:
Mastercard Visa Bankcard Amex

Card Number:
Expiry Date:

Signature:

Date:

Payment detailsSurname:
Initial(s):
Title:
Address:

Further informationPlease send me further details about:

Making a regular gift

Please fill in the form, print it and send to:
Taigum Global Impact
Taigum Community Church
P.O. Box 256
Taigum, Qld
Australia 4018

Thank you.