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I would like to give to:*

Donations of $2 or more supporting Interserve’s benevolent work are tax-deductible. Donations supporting Interserve’s church work and other work are not tax-deductible. Learn more about tax-deductibility here.

Please specify:

eg. Ministry fund, Project name or code

Interserve worker's name or Recipient code*

Type of giving:*

Once-off
Regularly

How much would you like to give?*

Initial Amount Initial Date
Regular donation Start Date End Date
Frequency

How would you like to give?*

Credit/Debit card
Automatic direct debit from my bank account
Transfer funds to Interserve's bank account
Cheque

How would you like to give?*

Credit/Debit card
Transfer funds to Interserve's bank account
Cheque

Credit/Debit Card*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Hidden

I prefer to call the office with my details.

Superb! Please complete this online form so that we have a record of your support.

To arrange automatic direct debit from your bank account, please download, complete and sign this PDF form.

Return it to us by email at: [email protected]
or by mail to:
Interserve
PO Box 231
Bayswater VIC 3153

Wonderful! Please complete this online form so that we can record your giving and send your receipts to the right place.

When you send your cheques, please make them payable to "Interserve" and mail to:
Interserve
PO Box 231
Bayswater VIC 3153

Terrific! Please note these details for your direct deposits and continue this online form so that we can send your receipts to the right place:

Interserve
BSB: 013-225
Account: 2971-14948
Reference: YOUR NAME or ID and Worker's RECIPIENT CODE

We will send you a personalised supporter ID to use with your deposits.

When would you like a receipt?

After each payment by email
Annually by email
Annually by post

Your details

Your Interserve Supporter ID (if known)

Name*

First Last

Name for receipts (if different to above)

Email*

Phone*

Phone

Mailing Address*

Address City State Postcode Country

Age

Church

Please phone 1800 067 100 or 03 9729 9611 during business hours.

Comments (if needed)

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