Geoff

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*
Would you like more information on becoming a Member of Hope Foundation Communicators Inc?*
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Name*
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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*
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- 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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Description
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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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Geoff