Donate

Title:

Given Names:*

Family Name:*

Maiden/Previous Name:

If applicable

Other Initials:

If applicable

Tax Receipt:*

Yes
No

Do you require the tax receipt to be in a name other than the one listed on the form

Email:*

Telephone/Mobile:*

Address Line 1:*

Address Line 2:

Address Line 3:

City/Town:*

State/Province:*

Country:

Post Code:*

College Association:

Donation Fund:*

Your Gift in Australian Dollars:*

Anonymity:

I would like my donation to be anonymous and do not wish to have my name printed in any published lists.

Donation Form

Personal Details
Title:
Given Names:*
Family Name:*
Maiden/Previous Name:	If applicable
Other Initials:	If applicable
Tax Receipt:*	Yes No Do you require the tax receipt to be in a name other than the one listed on the form
Contact Details
Email:*
Telephone/Mobile:*
Address Line 1:*
Address Line 2:
Address Line 3:
City/Town:*
State/Province:*
Country:
Post Code:*
Donation Details
College Association:	Trinity College Alumnus Past Parent Past Student Current Student Current Parent Current Staff Other
Donation Fund:*	General Fund Theological School Stephen Jones Wine Cellar Trinity College Plaque Campaign Other
Your Gift in Australian Dollars:*	$100 $250 $500 $1,000 $3,000 $5,000 Other
Anonymity:	I would like my donation to be anonymous and do not wish to have my name printed in any published lists.
Credit Card Details


Secure Payment Trinity College uses SecurePay to provide a secure environment for the authorisation of credit card and charge card transactions. Confidential information including card details are encrypted using industry standard SSL strong data encryption technology. Donation Cancellations Please direct any cancellation enquires to the Advancement Office.
Submission
Verification:	Please check the box and wait for a green tick to appear before submitting this form.