Once completed you can:

1. Select all, copy & paste the details into the body of an email and send to:
kidsincrisis@windermerecfs.com.au

Or 2. Print it and send it to us via FAX on (03) 9796 7650

Or 3. Print it and send it by mail to:
Windermere Child & Family Services
48 Webb Street
Narre Warren
VIC 3805

Receipts are issued for all donations. All donations of $2 or more are fully tax-deductible.

Name:
Address:
Town/City:
Postcode:
Phone:
Fax:
Email:

I would like a receipt to claim a Tax Deduction (donations over $2): Yes No

Where I want my donation to go (Select below):

I would like to donate to go towards:

	Long term intervention for high risk kids (Kids becoming Champions)
	Counselling for children traumatised by abuse, or suffering bullying, anxiety disorders, behavioural problems
	Victims of violent crime (Victims Assistance & Counselling Program)
	People with disabilities (Disability Services)
	Parenting support; managing difficult behaviours (Family Support)
	Practical assistance for people who are homeless or at risk of homelessness (Housing Support)
	Emergency childcare / respite (Family Day Care)
	Bedwetting assistance for children and adults (Dry Nights Program)

Payment Information:

My preferred method of payment is:

	Money Order
	Cheque
	Credit Card

Please charge my:

	Bankcard
	Visa
	MasterCard

Card No.:
Expiry Date:	/
Cardholders Name:

Signature:_______________________________________

 

Thank you for your invaluable support