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 nameLast 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*

DayMonthYear
Date
Which campaign was this donation made to?*

World's Greatest ShaveLight the NightA celebration fundraiserA birthday fundraiserOther
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About you