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Thank you for your donation.

Please complete this form so we can send you a tax deductible receipt. Also take a moment to share a little more about yourself and your reason for donating.

Thanks again, your donation will ensure women and children sleep soundly tonight, without violence or fear.

Name*
First Last
Email*
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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Website
I have recently donated the following amount ...*
(insert amount - including dollars and cents) to Manly Warringah Women's Resource Centre to help create a new beginning for women and children escaping domestic violence
You will receive my donation through the following payment channel:*
Please tell us which payment method you used to donate funds
- Credit Card
- Direct Debit to Manly Warringah Women's Resource Centre
- Cheque or Money Order
I would like a tax deductible receipt for my donation*
- Yes
- No
I'd like to tell you a little more about myself, the reason I donated and/or my fundraising effort
We love to learn more about you and your association with us here at Bringa and Delvena Women and Children's Refuge. Why you've decided to donate funds to us, your fundraising event, how you heard about us ... the list goes on and on. Be sure to share 🙂
I've attached additional information about the donation
Please share copies of your brochure, flyer, email of your event/fundraising request. Be sure to include photos from the event also ...
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