First Name*
Last Name
Email Address*
Phone*
I want to...(select an option from the drop-down menu)*
Your question or comment*
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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
- Monthly Gift
Your Gift Amount*
- $50
- $106.5
- $365 (dollar a day)
- $1065
- Other Amount
Other Amount
2. Credit Card
Card Details*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiry Date Security Code Cardholder Name
3. Your Details
First Name*
Last Name*
Organisation
Email Address*
Address
Street Address Suburb State Post Code Country
Phone*
Comments
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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
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*
Email Address*
Address*
Street Address Suburb State Post Code Country
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Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Contact details for a character reference
Name*
Contact number*
Relationship (eg: pastor, friend, colleague)*
Areas of interest for volunteering*
- Select All
- On-air announcing
- Audio production
- General administration
- Events
- Prayer team member
- Appeal support team
Select as many as apply
Why do you want to volunteer with Ultra106five?*
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Event Featured Image*
Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
Drag file here or browse

Max 5MB of PDF or image (jpeg, jpg, png,gif) file can be uploaded.
Title*
Description
Location
Start Date
DD slash MM slash YYYY
End Date
DD slash MM slash YYYY
Start Time

: HH

MM
End Time

: HH

MM
Event Photos
Drop files here or

Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.
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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!

First Name*
Last Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email Address*
Phone*
Ts and Cs*
I have read and understood the Competition Terms and Conditions
Mailing List*
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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valerie ling

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