Donations


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: __________________________

_________________  ___________

Signature                           Date

Post to:

Email to: ray.r@idl.net.au

 

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.

__________________________________________________________________________

Office Only

_____________________  _______________  ________  ________________

Received by                          Signature                   Date            Receipt #

___________________________________________________________________________________

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

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