HeadsUp Kippax Donation

HeadsUp Kippax Donations

Please use this secure form to make or pledge your donation to HeadsUp Kippax Inc. HeadsUp is a Deductible Gift Recipient and all donations over $2.00 are tax deductible in Australia. We will use the details you enter in this form to generate a receipt which can be used for income tax purposes.
Name*

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Confirmation Email
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Address*

Street Address

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Please select how you will pay*

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AUDHeadsUp Kippax Donation
Please enter the amount you will deposit by EFT
Bank details will be in the email confirming your pledge.
Any personal information will only be used for the purposes of this transaction, and will be disclosed to the relevant area of the Government and to your financial institution to the extent necessary to achieve that purpose. The details of the transaction will be released to you or your financial institution if this transaction is queried, and otherwise will not be disclosed to any third party except in accordance with the Privacy Act 1988 (Cth).

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HeadsUp Kippax Donations