Step 2 of 4 - Enter Donation Details

Please enter your donation payment information below. Fields marked with an asterisk () are mandatory.

• You are donating to the:Shore Foundation Building Fund

• Appeal:
  Please Select...R A I Grant CentreName a tile in the Aquatic CentreNorthbridge PicketsFootball/Tennis Pavillion seats
• Donation Amount
  (AUD)
• Donor Information
• Full Name:
  
• Street Address:
  
• Suburb:
  
• Postcode:
• State:
  Please Select ... NSW VIC QLD WA SA TAS ACT NT Other
• Country:
  
• Phone Number:
  

  Please include your area Code.
• Email Address:
  
• My Relationship to Shore:
  Please Select...Old BoyCurrent ParentPast ParentStaffFriends of Shore
• Childs Year:
  Please Select... Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12
• Peer Year:
  (eg. 1995)
• Is this a joint donation?
  No Yes
• If Yes, please provide name(s) for receipt:
  
• Do you wish to remain anonymous?
  No Yes
• I would like the Foundation to contact me regarding a bequest:
  No Yes

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