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Donations
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
Cell phone
Amount
$5.00
$10.00
$20.00
$30.00
$50.00
$100.00
$150.00
$200.00
$500.00
Other amount
$
$5.00
$10.00
$20.00
$30.00
$50.00
$100.00
$150.00
$200.00
$500.00
Other
$
Total amount
$
Frequency
Once
Weekly
Fortnightly
Monthly
Annual
Giving Number #
Pay/Donate method
Cheque
Make cheque payable to
Life Church Timaru
Send to
134 Morgans Road
Timaru 7910
Internet Banking
Make deposit to account
03 0887 0281519 00
Automatic Payment
03 0887 0281519 00
Cash
Cash payment
EFTPOS
EFTPOS Available onsite
Type
General
Special Offering
Thanksgiving Faith Offering
Love Offering for Guest Speaker
World Missions
Building Fund
*Specific
*If Specific please give details
Please send me a receipt now
Donations over $5 are tax deductible
Please send me a receipt in April for the year
Receipts will be posted out for the year during April
Date
Please check the highlighted fields
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✘