PIYE DONATION FORM

(Incorporated under the Australian Associations Incorporation Act 1984)

Your Details
Title  Mr Mrs Ms Dr Prof
* Firstname * Surname
* Address
Suburb * Postcode
Phone(h) Phone(m)
Phone(w) * Email
* Country
Organisation Details
* Org Name
* Contact Person
* Address
City * Postcode
* Phone Fax
Mobile * Email
* Country
* Payment Options
 One Time Payment On going Monthly Partnership
* I would like to pay amount in   AUD USD EURO
* Amount to be transferred
   
Please note: The donations are not tax-deductible
 Direct Debit/ Bank Transfer
Bank Name: Commonwealth Bank
Bank Location: Sydney, Australia
Account Name: PIYE Incorporated
Account Number: 10484047
BSB#: 062009
Swift Code (Outside Australia): CTBAAU2S
 Cheque/ Money Order - payable to PIYE Incorporated.
Print and mail this form along with your payment to:

The Treasurer
Piye Incorporated
PO Box Q952
QVB - Sydney
NSW Australia 1230
 Pay by Credit Card or Bank Transfer via PAYPAL.
(PAYPAL will process amount in AUD)



We would appreciate a confirmation of your donation.
Please email us - info@piye.org.au

Thank you for your support