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1. Your Donation

Donation Type

If you'd like to make a regular (monthly, weekly or fortnightly) donation please call us on 6231 1065, or email us at info@ultra106five.com, and we'll set it up for you.
Donation Type*
- Once-Off Gift
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Your Gift Amount*
- $50
- $106.5
- $365 (dollar a day)
- $1065
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Would you like more information on becoming a Member of Hope Foundation Communicators Inc?*
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1. Membership Fee

Details

Membership is for 12 months and helps fund the day-to-day operations of ultra106five. Membership is NOT tax-deductible and costs $25.00 (plus GST)

All members must read and agree to bound by the Constitution of Hope Foundation Communicators Inc and not to do anything detrimental to the best interests of the organisation.

All members must also agree with and subscribe to Hope Foundation Communicators Inc's Statement of Faith.
Consent*
I have read and agree with the Statement of Faith
Membership Amount*
- $27.50 (including GST)
2. Credit Card
American Express
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MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiry Date Code Cardholder Name
3. Your Details
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Address*
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Name*
First Last
Address*
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Phone*
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Contact details for a character reference
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Relationship (eg: pastor, friend, colleague)*
Areas of interest for volunteering*
- Select All
- On-air announcing
- Audio production
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Select as many as apply
Why do you want to volunteer with Ultra106five?*
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Max 5MB of PDF or image (jpeg, jpg, png,gif) file can be uploaded.
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MM
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MM
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1. Your Donation
Donation Type*
- Monthly Gift
Your Gift Amount*
- $20
- $30
- $50
- $106.5
- Other Amount
Other Amount
2. Credit Card
*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiry Date Code Cardholder Name
3. Your Details
First Name*
Last Name*
Organisation
Email Address*
Address*
Street Address Suburb State Post Code Country
Comments
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Join the Ultra106five Family Club

Register to be a member of the Ultra106five Family Club for access to on-air competitions, newsletters, and exclusive offers straight to your inbox!

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By joining the Ultra106five Family Club I agree to have my personal details added to a mailout list. I understand that I can update my preferences or unsubscribe at any time.
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