Receipt Request Form

Cash donation receipt request form
Please complete the following form to request a tax-deductible receipt for a cash donation you have received on behalf of the Leukaemia Foundation.

Before completing this form, please check the following:

1. You have banked or transferred the cash donation to the Leukaemia Foundation.

2. The donation you have received is $2 or more. Donations under $2 are not tax-deductible and therefore a receipt cannot be issued.

If you require assistance, please call 1800 500 088 or email supporters@leukaemia.org.au.
About you
Your name *
Your email *
example@example.com
Your team name (if applicable)
About your donor
Donor name *

First name Last name
Donor email *
example@example.com
Donor street address
Donor city
Donor state
Donor postcode
About the donation
Amount donated *
e.g. 50
Amount donated *
e.g. 50
Date of donation *

Day Month Year
Date
Which campaign was this donation made to? *

World's Greatest Shave Light the Night A celebration fundraiser A birthday fundraiser Other
Your privacy is important to us and we treat your personal information with confidence. To learn more about how and why we collect and use any personal or sensitive information about you, please read our privacy policy.
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About you