Australian Privacy Foundation Inc.
ABN 38 904 502 598

DONATION

We regret that facilities for on-line payment are not yet available.

Electronic Option:

Manual Option:

For the Foundation's Privacy Statement, see below*


To: The Secretary, Australian Privacy Foundation Inc.

I wish to make the following Donation: (Please Tick as Appropriate)

Donation to the work of the Australian Privacy Foundation:

O Amount $ ............................

Please list any specific campaign(s), issues(s) or proposals you are supporting:

 

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If you wish the APF to record your details, please fill in the following details:

Name of Donor:

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If Donor is an organisation, name of Contact Person and title of their position:

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Postal Address: .............................................................................................................

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Email address (optional): ....................................................

Contact telephone number(s) (optional): .................................................................


I am paying as follows:

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Signature: ......................................................................... Date.................................


Rules of Incorporation. See the Foundation's Rules of Incorporation.

Privacy Statement. Personal information is collected for the purpose of administering the affairs of the Australian Privacy Foundation and communicating with members. It is handled in accordance with the National Privacy Principles. For further details see the Foundation's Privacy Policy.


OFFICE USE ONLY

Donation approved: [Date] ........................................

Donation received: [Amount} ........................................

Method of Payment: Cheque ? / Cash ? / Direct ?

Monies banked: [Date] ........................................

Member notified: [Date] ........................................