CHURCHIE FOUNDATION: Pledge Confirmation

Yalari Scholarships

Pledge Confirmation
Name

First Name Surname
Address:

Address Line 1

Address Line 2

SuburbState

Post Code
Phone:
Email:
Relationship to Churchie:
Total Pledge Value $:
Please enter the total value of your intended contribution.
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 Yalari.
Thank you for your support.

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

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