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Thank you for making a donation to the Australian String Quartet.

Amounts AUD $2.00 and over are tax deductible and you will be issued automatically with a tax deductible receipt to your email address. If you prefer to make an offline donation via bank transfer or telephone, please view the Support page for further details.
Note that this form only accepts a minimum donation amount of $5 and above.

Title* 

Name* 

Surname* 

Receipt name if different from above

 

Receipt name* 

Address* 

Address 2 

Suburb/City* 

State* -- Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia  

Postcode* 

Preferred Telephone number*Mobile or daytime preferred

Email* 

OrganisationOrganisation name if applicable

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Donation details and Acknowledgement

I would like to donate* -- $50.00 $100.00 $200.00 $250.00 $500.00 $1000.00 Other amount  

Other amount* 

For the Purpose of -- ASQ Richard Divall Australian Music Fund General Donation  

I want to be acknowledged as myself

I need specific acknowledgement text

I want to remain anonymous

 

Acknowledge as 

 

Would you like to receive information about leaving a bequest to the Australian String Quartet in your will?

 

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