Thank you for buying a gift of love this Christmas

Our deepest thanks to you for buying a gift of love this Christmas. Your gift will help The Wayside Chapel to support those in our community who 'fall by the Wayside'. Completing your donation will take just a few minutes and a receipt will be sent to you via e-mail.

1. Choose a gift of love

	$25.00 AUD	Heaps of Hospitality - Hate Hunger, Love Hospitality
	$50.00 AUD	Oodles of Understanding - Hate Ignorance, Love Understanding
	$100.00 AUD	Tons of Support - Hate Loneliness, Love Community
	$200.00 AUD	Loads of Love - Hate Homelessness, Love the Homeless

Specify amount:

(For example, to donate $100.00 AUD just type in 100 or $5.50 AUD type in 5.5. No symbols or words please.)

2. Donor Details

Your personal and contact details for our records.

I am donating as

an individual.

a company or organisation.

Company or Organisation Name:

Personal Details

Salutation:

First Name

Last Name

Contact

Email Address

Confirm Email

Phone

Address

Country

Street 1

Street 2

Suburb

State

Postal Code

3. Further communications

Keep in touch.

Please check the box if you wish to receive more info from The Wayside Chapel

I would Like Everyday Hero to send me a copy of the receipt at the end of the financial year.