Donation_Form_2010.doc (doc file, 87kb)

Help us make a safer world for children


Your donation will play a vital part in supporting our programs.  Together we can make an enormous difference, protecting children everywhere.  Please make a donation by completing the form below. If you’d prefer to make a monthly donation you can join our Child Protection Advocate program. 

Donation Type

Monthly Child Protection Advocate

Donation

Donation Amount

$10

 $50.00
$20.00 Specify your own amount (AUD)

 

About You
* Denotes required information. Note that Monthly donors are required to enter a value for all of the 'About You' fields.
* Title
* Name
* Email Address
Address
City
* State
* Postcode
Country

 

* What prompted you to donate to Child Wise? Please select
Tv advertisement
 Online advertisement
Newspaper/magazine articles
 Another website
Child Wise resources
 Facebook
Mailing
 Google
Family/friend recommendation
Other

 

What is your age group? Please select

 

Do you prefer email or postal quarterly updates? Please select
Postal No Thanks

 

 

Proceed to process your donation

Clicking proceed will transfer you to the Commonwealth Bank for credit card processing.

Commonwealth Bank