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YOUR DETAILS

Name
Company
E-mail
Address
Phone

AMOUNT

I wish to donate (minimum donation $2.00):
All donation over $2 are tax deductible.
Make donation in the name of:

PAYMENT DETAILS

Name on Card
Card Numbers
Amount in $
Card Type
CVC
Card Expiry
You can also donate via cheques. Cheques can be made out to:
Kidsafe WA, GPO Box D184, Perth WA 6840
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