CLC Australia

iNTERNATIONAL

NATIONAL

OF INTEREST

Membership Forms

DONATION

I wish to donate the following amount to CLC to assist with its programs and commitment to the community:

Amount ($)

Title

First Name

Surname

Street Address

Suburb

State

Postcode

Phone (day)

Phone (night)

Mobile

Additional comments

I wish to pay online

I have transferred money electronically into the Christian Life Community Inc account: BSB: 062-264 A/C No: 10084384