Donate Money

[[[["field7","equal_to","Yes"]],[["show_fields","field8,field9,field10"]],"and"]]
1
Yes, I want to help a Family in Need
Thank you so much for your wonderful support.
Your Details:
First Name
Last Name
Is this on behalf of a Business?
Company Name
Address
Option 1
Please nominate a Donation amountPlease only nominate an amount without the $ symbol
Option 2
I would like to make a once off donation as a gift to help give a family the emergency support they need.
Option 3
AUD $[ field12 + field14 + field16]
Apply
I would like to make a donation for a specific item to directly help a family in need of emergency support.
Thank you ... Please complete the following Payment Details
Comments
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All donations over $2 are claimable as a tax deduction (We Care Connect Limited)
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