Australian and New Zealand Association of Bellringers
ABN 94 939 034 781

Instructions

Please use this online form to make a Declaration in regard to a donation to the ANZAB Public Fund.

When you have completed the form you can submit it electronically to the ANZAB Treasurer and make your payment by direct bank transfer. We would prefer you to use this option.

Alternatively, you can complete the form online, then print it, sign it, and post it to the Treasurer together with your cheque.

Please answer the following two questions, then click Begin.

1. Which payment option did you or do you wish to use?

Direct Bank Transfer    Cheque

You may also wish to express a preference as to how your donation is applied.

2. Do you wish to express a preference?    Yes    No

Declaration

This is the text of the Declaration, for your information. To make the Declaration, please select the appropriate options above, then click Begin, and complete and Submit the form.

In relation to a donation of A$ [amount] made by me on [date] to the ANZAB Public Fund by [my selected payment option],

I hereby declare that:

  1. This donation is from my own personal funds and is not on behalf of another organisation or individual.
  2. I will not receive any material advantage by way of return.
  3. I understand that it is a legal requirement for a tax-deductible donation that, while I may express a preference as to how it is used, the donation is unconditional and ANZAB cannot enter into any binding agreement regarding its use.
  4. I further understand that I will not at any time be entitled to seek or to receive the return of any money donated by me to ANZAB even if the project for which I have expressed a preference does not proceed or proceeds in a modified form.
  5. By signing and submitting this declaration or by submitting this declaration to ANZAB electronically I acknowledge that I have understood and agree to be bound by this declaration, and I understand that the Treasurer of ANZAB will issue a tax-deductible receipt to me as an individual donor only on the basis of this declaration.

This is the text of the Declaration, for your information. To make the Declaration, please select the appropriate options above, then click Begin, and complete and Submit the form.


Signature:  
Full name*:
Postal Address*:
Postcode*:
email address:
confirm email address:

Fields marked * must be completed. A signature is not required if you are submitting the form online. We recommend that you also supply an email address, but this is not mandatory.

Payment can be made either by direct bank transfer or by cheque.  Details for each option are given below.

Please transfer your donation to

BSB: 033039
Bank: Westpac - Camberwell, Victoria
Account number: 574301
Account name: ANZAB Public Fund
Reference: Your surname and postcode

Complete the Declaration form online.

Please make your cheque payable to "ANZAB Public Fund".

Complete the Declaration form online, then print and sign it. Post the cheque and the completed form to Kevin Stracey, Treasurer, ANZAB Inc., 45 Walter Street, North Adelaide, SA 5006.