TEN FOR CHAPLAINCY

Donations of $2 or more are tax deductible and we will issue you with a tax receipt. Please make the receipt out to. o Me o My company

OPTION 1: Regular Support

We will issue you with a tax receipt at the end of the financial year. However if you would like a receipt for each donation, please tick here o

 o $10 /month o $25 /month o $50 /month o Other $___________

OPTION 2: One-off Donation

o $50 /month o $500 /month o $100 /month o $1000 /month o $250 /month o Other $___________

Details

Title ________ Name:_______________________________________

Company _________________________________________________

Address __________________________________________________

Suburb ______________________________ Postcode ____________

Phone _____________________ Mobile ________________________

Email _____________________________________________________

Payment Options Cheque (made payable to SU QLD Schools’ Ministry Fund) Direct Deposit (Please contact our donations department on 3632 2222) Credit Card o Visa o Mastercard o Diners o AmEx Cardholder’s Name _________________________________________

Card No. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry Date ___/____ Signature ______________________________

4. Direct Debit (use only if you selected to become a regular supporter) Bank Name _______________________________________________

Branch ____________________________ BSB __ __ __ __ __ __

Account Name ____________________________________________

Account No. ______________________________________________

A detailed Direct Debit Agreement will be sent to you prior to the first drawing. Drawings are made on the third Thursday of the month. I/We the undersigned request you, Scripture Union Queensland (ID 057485), to arrange for funds to be debited from my/our nominated account at the financial institution nominated above according to the schedule specified herein.

Signature(s) ________________________________________________

If debiting from a joint account both signatures are required.

o I would like more information on leaving a bequest to SU Queensland in my will.

o Please send me Transform, the free quarterly newsletter of SU QLD.

Please return to: SU QLD, PO Box 1167, Eagle Farm QLD 4009

TEN FOR CHAPLAINCY