Katoke-Sponsorship-Form

Student Sponsorship Form

Katoke Trust for Overseas Aid
Mr/Mrs/Miss/Ms/Dr
Full Name*
Postal Address*
Unit/Number, Street, Suburb, Post Code, State, Country
Phone (M)*

Area CodePhone Number
Email*
example@example.com
Preferred Contact Method*

PostEmailPhone
Sponsorship Program

We encourage you to commit to supporting your student for six school years or as your circumstances allow.
Full Sponsorship for Tuition and Board:

Covers accommodation, education, educational and school resources, school uniform, daily meals and annual medical check-up.

Per Annum: $1,320 | Per Month: $110

Half Sponsorships for Tuition & Board:

Share the full sponsorship cost with a second sponsor.

Per Annum: $660 | Per Month: $55
Please select*

Full SponsorshipHalf Sponsorship
Payment Details

All Payments are Tax Deductible. For administrative ease, it would be appreciated if you could consider automatic monthly instalments.
I will be paying via:*

Credit/DebitDirect Debit
Credit/Debit Card*

VisaMastercardDebit
Cardholders Name*
Card Number*
Expiry Date*
Please charge my card:*

Monthly instalments of $55 (1/2 sponsorship) until further noticeMonthly instalments of $110 (full sponsorship) until further noticeYearly instalments of $660 (1.2 sponsorship) until further noticeYearly instalments of $1320 (full sponsorship) until further notice
Direct Debit

Automatic payments
BSB: 062-177

Account No: 10124371

Account Name: The Katoke Trust for Overseas Aid
Signature*

Clear
Date*

MonthDayYear
Date
NEED MORE INFO? Email: sponsorship@katoke.org.au

All enquiries to Lee King (02) 4294 1114
Should be Empty:

Sponsorship Program

Payment Details

Direct Debit