CHURCHIE FOUNDATION | Yalari Scholarship Pledge

Yalari Scholarships

Pledge Confirmation
Name

First Name Surname
Address:

Address Line 1

Address Line 2

SuburbState

Post Code
Phone:
Email:
Relationship to Churchie:
Peer Year:
This is the year that you completed, or would have completed, your senior year.
Year Level or Cohort:
To attribute your contribution, please list a year level or senior cohort year.
Total Pledge Value $:
Please enter the value of your intended total contribution for the duration of your pledge.
Duration of Pledge:

Other
Pledge Frequency:
Please select your intended frequency of contributions.
Proposed Date of First Donation:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearPlease select the date you intend to commence your pledge.
Preferred Method of Payment
Please select your preferred method of payment.
By submitting this form, you agree for the details of your donation and your contact information to be shared between the Anglican Church Grammar School (Churchie), the Churchie Foundation and the Yalari Foundation.
Thank you for your support.

We will be in contact with you shortly to arrange payment details.

If you have any further questions, please contact us on foundation@churchie.com.au
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