Please complete the following details to Adopt a Room.
Personal Details
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
Postcode:
*
Country:
*
Phone:
*
Mobile:
*
Email:
*
You may choose the following if you have a preface:
Andre Hall
Watson Hall
Room numbers
Adopters name
Consent to display the name
Requests for photos after renovation
Tours of room and campus
Free night in a guest room
Number of rooms | Price:
(dollars only, no decimals)
I would like to donate by cheque or money order:
Cheque or money order payable to Avondale College Limited
Send cheque or money order with this donation slip to:
Adopt a Room, Avondale College, PO Box 19, Cooranbong NSW 2265
Direct Deposit:
Please enter this application number as your payment reference
Avondale College Ltd
BSB: 032 524
A/C: 146197
Swift Code: WPACAU2S
By Phone:
By phoning your credit card details to the Enquiry & Enrolment Centre
I would like to donate by credit card
Name on Card
:
*
Card Number:
*
Card Expires:
01
02
03
04
05
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08
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11
12
/
08
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Card Type:
Visa
Mastercard
Bankcard
Amex
Diner's Club
*
*
= (Compulsory Field)