Donations

1000 Sponsors Campaign Form

Love In Action P.O Box 121 Bli Bli 4560 Qld Australia Ph. 61 404 311623 Fax. 61 7 5448 4152 email: mail@loveinactioncambodia.com

Donations Worldwide

LIA Bank Details: (Credit/Debit Card Facility available) Suncorp Bank, Nambour 4560 Qld Australia Account Name: Love In Action BSB No. 484799 Account No. 600967505

tDebit/ Card. (see below)

Etfpos Facility                                                                 □ Credit Card    □ Debit Card

Card Number : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _                                                                                                                                          Expiry Date _   3 Digit verification No.                                                (last 3 digits on back of your card)                                 Name on Card ___________________

To send details cut and paste this section on an email, fax or post to                         Love In Action.                                                                                                                                                                                                                                                                   Please forward your details on the form linked below to our office by post, fax or email.      Personal Details Form

Other Options  If donating from other nations we can put it through our eftpos facilty or forward a cheque/money order in Australian dollars.  ( a fee is charged by our bank for exchanging of foreign currency cheques.)

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