Dianne

Your partnership

I would like to:

You can select one or both options.

Give to this Interserve worker
Pray for this Interserve worker (receive their personal newsletter)

Your gift

This gift is for:

Learn more about tax-deductibility here.

Please specify:

eg. Ministry fund, Project name or code

Frequency of giving:*

Once-off
Regularly

How much would you like to give?*

Initial Amount Initial Date
Regular donation Giving / Pledge date End Date
Frequency

I want to start my giving when the worker departs.

Planned departure dates can be subject to change. We will notify you when details are confirmed in order to finalise your financial support.

How would you like to give?

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

Thank you! We have noted Credit/Debit card as your preferred giving method.

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

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

Credit/Debit Card*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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I prefer to call the office with my details.

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

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When would you like your support to start?

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Date

When would you like a receipt?

After each payment by email
Annually by email (default)
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

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Would you like to receive:

Interserve Worker's newsletter and prayer updates
General Interserve News and Events
Just keep current subscriptions

Comments (if needed)

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