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 Online credit card donation

Please use this form to send a credit card tax-deductible donation (over $2.00).

The ACCESS website does not yet have secure forms.  These will be added soon.  In the meantime, please use this form,  which is not SSL-based to submit a donation.  Please note that ACCESS cannot take any responsibility for credit card fraud.
 
Security of credit-card transactions has been given a great deal of media attention.  Be aware that SSL links (so-called 'secure forms') protect a message from prying eyes whilst it is in transit across the Internet but do nothing else.  Many would agree that risks of unauthorised discovery in transit is overstated, and the real risks to credit card number security, where they exist, are in sloppy work practices once the credit card data has arrived at its business destination.  Be assured in our work practices we take the greatest care to keep your data secure and private. 
 
If you are still uneasy about using this online form, please use our printable donation form.

Please accept my contribution of:
Please make all donations in Australian dollars (AUD).

AUD$


I’d like my donation to be anonymous:
Unless you prefer otherwise, we’ll acknowledge your donation in the next issue of our newsletter. If you’d rather remain anonymous, then click here.

Yes/No

 Yes
 No

I’d like to acknowledge the following person/s:
If you’d like your donation to be in honour of a family, doctor, nurse, therapist, child, or volunteer please complete and we will acknowledge them in our next newsletter.

Person's name


Your contact details:
Please provide your details if you'd like an official receipt.

Contact name

Address

Address

Suburb/town

State

Post/zip code

Country

Email address


Donation payment details

Please charge my credit card

 Master Card Visa

Card number

Expiry date

Name on card

 
 
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