🧍♀️ About You
Please provide your details below so we can confirm your identity and process your authorisation securely.
Your Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
🏢 Who We’ll Contact
Please tell us which organisation, charity, or company we should contact to collect your information.
Donee ID Number
(optional)
Organisation Name
*
Enter the full legal name of the organisation (e.g., The Salvation Army New Zealand)
Organisation Address
Street Address
Street Address Line 2
Suburb
Postal / Zip Code
City
Phone Number
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Area Code
Phone Number
Email
If unsure, leave blank — we’ll find it for you
✅ Your Confirmation
By submitting this form, I confirm that:
*
The information I’ve provided is true and correct.
I authorise My Refund Ltd to act on my behalf to obtain information from the organisation named above.
I authorise My Refund Ltd to register or link a donations account at IRD for me if required.
I understand I can withdraw this authorisation at any time by contacting My Refund Ltd.
✍️ Sign & Confirm
*
Submit Authorisation
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