Donation Scheme

Cross Roads Community Inc. runs largely on donations.

Therefore we warmly invite you to join us as a part of the active
CRC support base through our Donation Scheme.

Please print out and post to:

Cross Roads Community Inc
4 Preston Pt Road
East Fremantle WA 6158




Date: _______________________________________________

Name: ______________________________________________

Address: ____________________________________________

Telephone: __________________________________________

Mobile: ______________________________________________

Email: ______________________________________________

Receipt Required:
Yes No

I would like to help the work of Cross Roads Community Inc. by:

A one off donation of $
__________

or a regular monthly donation of $__________ per month

Cash:
Cheque:

Credit Card: Visa Mastercard Bankcard


Card Number: ________________________________________

Name of Cardholder: ___________________________________

Expiry Date: ______________________/____________________

Donations over $2.00 are tax deductible









4 Preston Point Road, East Fremantle , 6158, Western Australia.
Telephone: (+61) 8 9319 8344, Facsimile: (+61) 8 9319 8340, Email: info@crossroadscommunity.com.au
© 2008 Cross Roads Community Inc.