WILDCARE Gift Fund Donation

Supporting WILDCARE Tasmanian Coast Conservation Fund

Your donation will be specifically utilised in the support of the following program:

WILDCARE Tasmanian Coast Conservation Fund

On-line Donation Form

Personal Details (for the Donor Records)

Salutation
First Name *
Last Name *
Address *
Enter Suburb *
Postcode:
State
Country
Home Phone	[xx-xxxx-xxxx]
Business Phone	[xx-xxxx-xxxx]
Home Mobile	[xxxx-xxx-xxx]
Business Mobile	[xxxx-xxx-xxx]
Home Email *
[ * indicates required fields]

I understand that this information is for internal records only and will not be redistributed other than for taxation, legal, and auditing requirements.

Yes No

I give permission for my name to be published from time-to-time in a list of donors in the WILDCARE Newsleter WILDTIMES.

Yes No

Donation Type

I wish to support the WILDCARE Gift Fund by making:

A once-only donation
An automatic monthly credit card donation
An automatic regular monthly donation from my Salary

Caring for wild places, wildlife and cultural heritage

Would you like to also become a financial &/or active member of WILDCARE Inc?

Benefits include:

Receipt of WILDTIMES (our regular newsletter to keep you up-to-date with what's happening in the organisation
$25 discount on your Annual All-Parks Pass
Discounts at various sponsor businesses as indicated in the newsletter

Full details of the benefits are contained in the membership application form.