Poverty Aid 4 Cambodia
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Donations

I would appreciate it if you could support this project to help exterminate poverty by your kind donation or sponsorship

 Food4Everyone  (Poverty Aid for Cambodia), Heartland International

ABN: 27 111 873 404
Suite 106, 64-68 Derby Street
PENRITH NSW 2750
Phone: 4737 3400
Mobile: 0401 06 5979
          poverty4c@gmail.com
 
Please accept my/our donation:
 
Please fill in so we can send you a receipt for taxation purposes.
 
Name:___________________________________________________________________________
 
 Postal Address:___________________________________________________________________
 
________________________________________________Post Code:_______________________
 
Phone:____________________________ Email:_________________________________________
 
 
Donation Amount: $_____________________________________________
 
 
Payment Options: (please circle)       Credit Card   /   Cash   - please see host
 
 
Please complete:
 
             Name on Card:___________________________________________
 
   Card Number:___________/___________/__________/__________
 
   Expiry Date: ________/________               Circle One: VISA / Master Card:
 
             Signature:      ___________________________________________
 
 
All donations will appear on your credit card statement as “Global Development Group”, who support our project. All donations are of course tax deductible.
 
Office Use only:
 
Credit card detailed
Checked:
Cash received by:
Postal address checked
 
 
 
 

 
Food4Everyone (Poverty Aid for Cambodia),
Heartland International
ABN: 27 111 873 404
Suite 106, 64-68 Derby Street
PENRITH NSW 2750.
Phone: (+612) 4737 3400 
Mobile: (+61) 401 06 597
          poverty4c@gmail.com 
MAKING A DONATION
 
 
Direct Bank Deposits or Transfers (Australia Only)
 
1) Go to your bank and tell them you want to arrange a monthly transfer of $_________ to the following bank account:
 
Heartland International Ltd (Poverty Aid for Cambodia)
Westpac Bank
BSB: 034076
Acc:   263080
 
 
2) Please provide the following information so that we may contact you and send you your receipts:
 
Your Name: _________________________________________________
 
Your E-Mail: _________________________________________________
 
Contact Phone Number: (_____) ________________________
 
 
Postal Address: ______________________________________________
 
______________________________________________
______________________________________________
 
FAX BACK TO: 02 4737 3401
International FAX: +612 4737 3401
 
 
All donations will appear on your credit card statement as “Global Development Group”, who supports our project. All donations are of course tax deductible.