MEMBERSHIP PLEDGE
I would like to become a Member of Australian Red Cross Society of Women Leaders
and contribute to making an impact in my community.
membership type:
Founding Patron ($10,000/year for 5 years)
3-year Member ($10,000/year for 3 years)
Annual Member ($10,000/year)
Your multi-year pledge allows Australian Red Cross Society of Women Leaders to make longer-term
plans for the programs that we support ensuring the best possible outcomes for vulnerable women and
children in our community and around the world.
MY DETAILS
First name
Surname
Address
Suburb
StatePostcode
Phone Home
Mobile
Email
My cheque is enclosed (payable to Australian Red Cross) Total amount $
Please charge my credit card
American Express
MasterCard
Diners
Visa Card number
Cardholder Name Signature
Expiry Date
Please issue my donation tax receipt in the name of:
Please send me information about making my membership donation in monthly instalments.
Optional: I do not give my consent for my name, details or photos of me taken at Society of
Women Leaders events to be published on the website or otherwise used by Australian Red Cross.
SignatureDate
All donations over $2 are tax deductible.
In your first year the tax deductible receipt will not include the cost of the bracelet and charm ($450). A tax receipt for $9,550 will be issued.
Red Cross has developed a Privacy Policy to protect your privacy. The Privacy Policy contains information about Red Cross' responsibilities, your rights,
the personal information that may be collected by Red Cross, and how it would be used. The Privacy Policy is available in hard copy on request, or may be
downloaded from our website, www.redcross.org.au. The Privacy Collection Notice can be accessed at redcross.org.au/supporterprivacy.
Please scan and send this completed form to Anita Pahor at [email protected] or to the Australian Red Cross, Sydney Office.
Please scan and send this completed form to Anita Pahor at [email protected] or post to:
Australian Red Cross, Level 4, 464 Kent Street, Sydney NSW 2000
St Andrew House, Level 4, 464 Kent Street Sydney NSW 2000