Habitat Association for the Arts and Environment Inc
ABN: 11 030 293 971
Correspondence: Email: ray.r@idl.net.au
Tel. (02)43247244
Outside Australia: 61243247244
Donations Fund
I, ______________________________, wish to donate to the Habitat Association for the Arts and Environment Inc Fund to Support Projects
Address: Street: ______________________________________
Suburb and Post Code: _________________________
Tel: ____________________________
Email: __________________________
_________________ ___________ DatePost to:
Email to: ray.rayc raucher@gmail.com
Please tick if you wish to contribute to the Association’s Fund to Support Projects (receipt issued):
a. ∆ $15. b. ∆ $20 c. ∆ $50 d. ∆ $70 e. ∆ $100. f. ∆ $_______ (other)
This fund allows the Association to assist those nominated for mentoring and publication assistance.
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Office Only
_____________________ _______________ ________ ________________
Received by Signature Date Receipt #
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Looking forward to your donation to assist the Association.
Simply email us by copying this form to a word document, fill in your details and send the document to the above email address confirming your donation to the bank account details below.
Sincerely yours,
David Holland
President
Community First Credit Union (ABN: 80 087 649 938)
Account Name: Habitat Association for Arts and Environment (HAAE)
Bank Detail: BSB – 512170 Account No. 9823346
Habitat Association 