RMHC : RMHC VIC & TAS Donation Form

Where are you making this donation? *

Date of Donation *

First Name *

Last Name *

DOB *

Address Line 1 *

Suburb *

State *

Postcode *

Email *

Phone (Mobile) *

What is your connection to RMHC VIC&TAS? *

Individual Supporter
Community Organisation
Corporate Donor
RMHC VIC&TAS Family
Volunteer
Board Member
Other

Let us know why you are donating today? *

In-Memory
Workplace Fundraiser
Community Fundraiser
Pay it Forward (Family)
My favourite charity

Donation Type *

Cash
Cheque
In-kind Donation

If donating in-kind, what is the market value? example: $50 worth of groceries

If donating by cash or cheque, how much would you are you donating today?

Would you like to stay up to date with what is happening at RMHC VIC&TAS? *

Yes, please!
No Thanks
E-News Only

Are you a family who has been supported by RMHC VIC&TAS and are; Paying it Forward?

Yes
No

How did you hear about us? *

Guest
Volunteer
Board Member
Staff
TV-Media
Online
Event
Other

If other, please let us know how you came to know about RMHC VIC&TAS

Leave a message to let us know more about why you are supporting RMHC today

Review our Privacy Policy www.rmhc.org.au/privacy-policy *

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