Thank you for donating

Thank you for agreeing to make a generous gift to our work here at SIDS and Kids Victoria. Receiving less than 1% of our funds from Government we rely heavily on the generosity of the community to help us help families and others impacted by the death of a child - thank you.

Completing your donation will just take a few minutes and your gift will start working for SIDS and Kids Victoria immediately.

1. How much do you wish to donate

	$25.00 AUD	can provide an information resource pack for a grieving parent
	$44.00 AUD	can provide one hour of phone counseling
	$84.00 AUD	can provide an individual counseling session for parents
	$100.00 AUD	can provide a support group session for grieving parents
	$125.00 AUD	can provide a family with a home visit by a counsellor

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 SIDS and Kids Victoria

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

4. Payment Method

How would you like to pay?

Pay with Credit Card Visa_37x23 Master_37x23

Cash or Cheque Bpay_23 Austpost_23

Everyday Hero deducts a small service fee and passes all donations on to your nominated charity and arranges receipts.