ALL DONATIONS OVER $2 ARE TAX DEDUCTIBLE
NAME OPPORTUNITIES ARE AVAILABLE
PERSONAL DETAILS Title
First Name
Surname
Company Name (if required on receipt) Address
Postcode
Mobile
Phone
I WOULD LIKE MORE INFORMATION ABOUT LEAVING A BEQUEST TO THE SOUTHPORT SCHOOL
DONOR RECOGNITION I AM/WE ARE HAPPY TO HAVE MY/OUR NAME (NOT THE AMOUNT) PUBLISHED IN THE LIST OF DONORS I/WE PREFER TO REMAIN ANONYMOUS
Name to appear as
Signature
Date
SIGNATURE
ENCLOSED IS MY GIFT OF: $500
$1,500
$2,500
OTHER AMOUNT $
PLEASE CONTACT ME TO DISCUSS A PLEDGE (Pledges can be payable over the 2017/2018 financial years)
PLEASE CONTACT ME TO DISCUSS MY GIFT
PAYMENT DETAILS ONLINE - via philanthropy.tss.qld.edu.au
DIRECT DEPOSIT - The Southport School Foundation Ltd. BSB: 084 004. Account number: 62 400 2645.
CHEQUE - made payable to the TSS Foundation Ltd.
CREDIT CARD - Mastercard, Visa or AMEX only (surcharges apply).
CARD NUMBER EXPIRY Name of Cardholder
Thank you for your support. Please return this form to:
/
DATE
/
Signature
The Southport School Director of Philanthropy 2 Winchester Street Southport Qld 4215
07 5531 9891 Bruce.Wright@tss.qld.edu.au
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