2018 National Church Dues

2018 National Church Dues

Due Date 28th February 2018
Church Details
Church Name*
Church ID*
Entity ABN*
(from which dues are being paid)
Church Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
YesNo
Church Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail Address*
(for business / administrative matters)
Phone Contacts*
(alternate phone contact)
Dues Calculation

The below calculation is for Australian Christian Churches (ABN 58 123 514 361) National Dues. The details submitted will be sent to the nominated email address for your records.
2017 Tithes & Offerings*
YesNo

YesNo
Please note additional churches/campuses here:
2018 ACC National Dues (at 1% of 2017 Tithes & Offerings)
Less 10% Discount, for payment before 28 Feb 2018
YesNo
ACC Religious Group Number*
Total Dues Payable including 10% GST
Total Dues Payable
Declaration
YesNo
YesNo
Date your Child Protection Policy was formally adopted.*

DayMonthYear
YesNo
"I declare that the above information and dues calculation are true and correct"
Full name of Senior Pastor (or their delegate) making this Declaration*
Date of Declaration

DayMonthYear
Dues Payable
Amount Owing
Calculation
Payment Types
Payment Type
(Credit Card payment only available under $3,000)

Bank Transfer
Bank: Commonwealth Bank of Australia
BSB: 063146
Account number: 10391792
Account name: Australian Christian Churches

Reference: Your Church ID Code
Cheque/Money Order
Please make payable to Australian Christian Churches, and note your Church ID on the back of the cheque.
Premium Funding
Thank you. The information included in your Dues form will be forwarded to ACS to make the Premium Funding arrangements.
Should be Empty:

Declaration