Karinya House | Donation Form
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Donation Amount

  • This field is required. Donation amount cannot be more them $9999999 Donation amount cannot be less them ${{donationAmountMinAmount}}. Please use numbers only.

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How often would you like to Donate?

Your Details

  • This field is required. First name cannot be longer than {{FirstNameMaxLength}} characters. First name cannot be shorter than {{FirstNameMinLength}} characters. Please enter valid characters

  • This field is required. Surname cannot be longer than {{LastNameMaxLength}} characters. Surname cannot be shorter than {{LastNameMinLength}} characters. Please enter valid characters

  • This field is required. Organisation cannot be longer than {{OrgNameMaxLength}} characters. Organisation cannot be shorter than {{OrgNameMinLength}} characters. Please enter valid characters

  • This field is required. Phone cannot be longer than {{PhoneMaxLength}} characters. Please enter a valid phone number.

  • This field is required. Email address cannot be longer than {{EmailMaxLength}} characters. You did not enter your email address correctly.

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  • This field is required. Street cannot be longer than {{AddressMaxLength}} characters. Street cannot be shorter than {{AddressMinLength}} characters. Please enter a valid street address.

  • This field is required. Suburb cannot be longer than {{SuburbMaxLength}} characters. Suburb cannot be shorter than {{SuburbMinLength}} characters. Please enter a valid Suburb Name.

  • This field is required. State cannot be longer than {{StateMaxLength}} characters. State cannot be shorter than {{StateMinLength}} characters. Please enter valid characters

  • This field is required. Country cannot be longer than {{CountryMaxLength}} characters. Country cannot be shorter than {{CountryMinLength}} characters. Please enter valid characters

  • Gifts may be acknowledged and recognised in our annual report, on our website, and in some other publications. Please provide your acknowledgement below if you consent us to publicly acknowledge your contribution.

Please make sure : {{msg}}{{ (checkDonationYourDetailsErrorMsg.length>1 && $index==0) ? ($index==(checkDonationYourDetailsErrorMsg.length-2) ? ' and':','):''}}{{($middle)?($index==(checkDonationYourDetailsErrorMsg.length-2)?' and':','):''}}is filled out before progressing.

How would you like to Pay?

  • Credit card

  • EFT

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  • This field is required. Card Number cannot be longer than 16 characters. Card Number cannot be shorter than 13 characters. You did not enter your Card number correctly.

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Your Card has been declined. Please check that you have sufficient funds and you have entered your card details correctly.

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Transfer your pledged amount to the details below:

Bank: {{Bank_Name}}

Account Name: {{Beneficiary_Name}}

BSB: {{BSB_Number}}

Account: {{Account_Number}}

Donation Amount (AUD)

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Karinya House is endorsed by the Australian Taxation Office as a tax-deductible gift recipient, and all donations of $2 or more are tax deductible.

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Thank You

Thank you for your thoughtful donation to Karinya House.

We operate twenty-four hours, seven days a week in Canberra and the surrounding regional areas.

 

Regards,

Karinya House