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Print out the donation application below

  • Send to your chosen organisation with your credit card details, cheque or money order
  • or Fax to your chosen organisation with your credit card details.

Appeal Name: Eastern Volunteer Resource Centre Appeal  
Organisation Name: Eastern Volunteer Resource Centre Inc
Address: Suite 1a / 36 New Street
RINGWOOD VIC 3134
Fax: 03 9879 4200
Phone: 03 9870 7822

Title:   First Name:   Last Name    
Address:  
Suburb:  
State:   Postcode:  
Phone (H):   Phone (w):  
Fax:   Email:  

I would like to donate $ to Eastern Volunteer Resource Centre Inc  
 
Enclosed is my cheque/money order
Please charge my credit card
 
Credit Card Details
Card Type: Visa Mastercard Bankcard AMEX
Card Number:
                                     
Expiry Date: ____/____
Cardholders Name:  
Signature:  
Date of Order: ____/____/____
 
Preferred Community Card for Australia

   

©2001 Our Community Pty Ltd   www.ourcommunity.com.au   ABN 24 094 608 705
National Headquarters: 51 Stanley St, West Melbourne Victoria 3003 Australia
(PO Box 354 North Melbourne 3051 Victoria)
Telephone (03) 9320 6800   Fax (03) 9326 6859   Email service@ourcommunity.com.au
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