FATHERHOOD FOUNDATION SPONSORSHIP FORM
If you would like to give a one-off gift, arrange a sponsorship or become a partner, please fill in the following information and return this form, with the amount you wish to give
to the Fatherhood Foundation, in one of the following ways:
PH/FAX: 61-2-4272 6677
MAIL: Fatherhood Foundation
PO Box 440 WOLLONGONG 2520 NSW AUSTRALIA
EMAIL: [email protected]
I would like to support the Fatherhood Foundation in the following way/s:
□ Major Sponsor - I would like more information
□ TV Sponsor (Naming Rights Sponsorship) - I would like more information
□ Gold Partner: $12,000 pa or $1,000 per month
□ Silver Partner: $6,000 pa or $500 per month
□ Bronze Partner: $3,000 pa or $250 per month
□ Excellence in Fathering Partner: $1,200 pa or $100 per month
□ Fatherhood Partner: $240 pa or $20 per month
□ Once-Off Donation: Amount specified below
My Details Are:
Mailing Address: ________________________________________________________
City:________________________________ State:__________ Postcode:___________
Phone:______________________ Email:_____________________________________
Please complete the following to make your payment:
□ I would like to become a partner on a monthly basis, please deduct this amount monthly
□ I would like to donate this amount once only, please deduct this amount as a once off donation/gift
Amount: $___________
□ Cheque- please find cheque enclosed.
□ Credit Card: Card Type: □ Visa □ MasterCard
Card No: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiry Date: ___ /___
Name on Card: ________________________ Signature of Cardholder: __________________________
□ Direct Deposit:
Fatherhood Foundation Public Fund Inc 9877518 Westpac Wollongong BSB: 032 695 A/C# 25 5558
Note: Please inform us of any direct deposits with your name, address, amount and date of donation to [email protected] so that we can receipt and thank you!
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