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Donation Form
Please use this form to donate to the new church
Persons name
First name
Last name
Persons address
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Email address
Amount
$25
$50
$100
Other amount
$
$25
$50
$100
Other
$
How would you like to pay?
*
Cash
Cash payment
Internet Banking
Internet Banking
Total amount
$
Please check the highlighted fields
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