Donation Form - Operations | Lote Tree Trust

Donation form for operations

Name *

First name

Last name

Email address *

Home phone

Address

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Is this donation on behalf of someone else?

If yes, provide their name (The receipt will be issued against this name)

Amount *

Choose if your donation is one off or a regular donation *

First payment date *

Donation type

Donations - Regular donations

Donations - One off donations

Payment method *

Direct Debit

Credit Card

Internet banking
Make deposit to account
38-9016-0861578-00

Reference Used

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