Thank you for donating

Thank you for agreeing to make a generous donation to the Far North Queensland Hospital Foundation.

Completing your donation will just take a few minutes and your payment will be sent to the charity upon completion.

A tax deductible receipt will be emailed to you upon completion.

1. How much do you wish to donate

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 Far North Queensland Hospital Foundation

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

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

	$25.00 AUD
	$50.00 AUD
	$100.00 AUD