Payment Details Form

Name of primary contact person

First Name

Last Name

Primary email

Organisation Name

Enter the name of your organisation

ABN Number

Enter your ABN

Is the organisation a registered nonprofit?

Are you registered as a nonprofit organization for tax purposes?

Yes

Is your organisation a Deductible Gift Recipients (DGR)?

A deductible gift recipient (DGR) is an entity or fund that can receive tax deductible gifts.

Yes

Name of Bank

Please enter the name of your bank

Account name

Please enter the primary name associated with your bank account

BSB number

if applicable, please enter the Bank-State-Branch (BSB) number

Account number

Please enter your bank account number

Any additional information?

Anything else you'd like us to be aware of?

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