YOUR DETAILS
Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
YOUR DONATION
If you wish to donate more than the options provided, simply increase the 'Quantity' until you've reached your required amount.
Direct your donation to:
General YouthCARE Support
School Chaplaincy Services
YouthCARE Council
Christian Values Education (CVE)
Free Coffee Friday
Sports Chaplaincy
Name of YouthCARE Council
Name of School
Please TICK the amount you wish to donate
*
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( X )
$25 DONATION
$
25.00
AUD
Quantity
1
$50 DONATION
$
50.00
AUD
Quantity
1
$100 DONATION
$
100.00
AUD
Quantity
1
2
3
4
5
$200 DONATION
$
200.00
AUD
Quantity
1
2
3
4
5
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
Expiration Year
Would you like to support YouthCARE through regular contributions?
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