Rainbow Place Donation Form

Donating to Rainbow Place

Thank you for agreeing to make a donation. Completing your donation will just take a few minutes.

Amount:

Additional Information

Type of gift:

One-time gift

Recurring gift

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Your Details

Title:

First name:

Surname:

Country:

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Payment Information

All cards are processed in NZD

Cardholder's Name:

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Additional Security

This is a security measure to help prevent fraud.

Complete this section if your donation is in memory of someone

First name:

Surname:

Type:

Description:

Enter Next of Kin's Details

Bank transfers

Please use the details below to make a bank transfer. Please include your name as a reference and contact us at marketing@hospicewaikato.org.nz to organise your receipt.

NAME: Hospice Waikato Trust
BANK: Westpac
ACCOUNT: 03-1555-0091553-00

Ways to make a donation

- Via our website:- www.hospicewaikato.org.nz

- You can make a donation in person at our main site, 334 Cobham Drive, Hamilton or at one of our Hospice Shops.

- Or by post to:-Hospice Waikato
PO Box 325
Waikato Mail Centre
Hamilton 3240

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