Relay For Life Donation Sheet

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Relay For Life Donation Sheet
Team Member Details
First name:
Last name:
Team name:
Address:
City:
Postcode:
Phone:
Email:
Banking Information
Date donations banked:
Bank reference code:
Total amount banked: $
Please note: Donations over $5 are tax deductible and can be receipted. Correct
contact information must be provided and writing must be legible for a receipt to
be issued.
First name
Last name
Street address
City
Postcode
Email
Donation $
Receipt
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
To keep you informed of our news, services and information, your details will be recorded on our database. If you do not wish to receive any further
updates or correspondence, please contact us; .nz, 07 838 2027 or PO Box 134 Hamilton 3240

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