Donation
Pledge Form all Donations are Tax Deductible REGISTERED CHARITY TAX EXEMPTION NO: DGR 36314
Legal Name
*
First Name
Last Name
Initiated Name:
First Name
Last Name
Mobile Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pledge Amount
*
Mode of Payment
*
Cheque
Cash
Card (Visa/Debit)
Internet Transfer
Installments
*
Monthly
Quarterly
Yearly
One-Off
No of Years
*
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
Comments
NEW TEMPLE Banking Details
BSB: 032032 Account No: 168437 Account Name: Hare Krishna Food for Life
Submit
Should be Empty: