Online Donation
I would like to make a One-Off donation
I would like to make an Ongoing donation by Credit Card
Your Details
Title
:
Mr.
Mrs.
Ms.
Miss.
Dr.
First Names
:
*
Last Name
:
*
Date of Birth
:
Address Line 1
:
Address Line 2
:
Suburb
:
City
:
Country
:
Please Select
Albania
Algeria
Andorra
Angola
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Belize
Benin
Bermuda
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Congo
"Congo
Cote D Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominican Republic
Egypt
El Salvador
Estonia
Ethiopia
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guadeloupe
Guam
Guernsey
HongKong
Hungary
Iceland
India
Indonesia
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Japan
Jersey
Jordan
Kazakhstan
Kenya
Korea(South)
Kuwait
Kyrgyzstan
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali Republic
Malta
Martinique
Mauritania
Mauritius
Mayotte Island
Mexico
Moldova
Monaco (Kosovo)
Mongolia
Namibia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nigeria
Norway
Pakistan
Palestine
Panama
Peru
Philippines
Poland
Portugal
Romania
Russia
Serbia & Montenegro (Yugoslavia)
Singapore
Slovenia
South Africa
Spain
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Turkey
Uganda
UK
Ukraine
USA
Vietnam
Zambia
Vanuatu
Zimbabwe
Vatican City
Papua New Guinea
Anguilla
Antigua and Barbuda
Bahamas
Barbados
Bosnia and Herzegovina
Colombia
Costa Rica
Cote d'Ivoire
Djibouti
Dominica
East Timor
Ecuador
Grenada
Guyana
Haiti
Honduras
Iran
Jamaica
Laos
Mali
Montserrat
Morocco
Mozambique
Nicaragua
Niue
Northern Mariana Islands
Oman
Paraguay
Puerto Rico
Qatar
Samoa
Saudi Arabia
Senegal
Slovakia
Solomon Islands
Seychelles
Sri Lanka
Suriname
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Yemen
Korea - South
Cook Islands
Guatemala
Guinea
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
British Virgin Islands
United States Virgin Islands
Home Phone
:
Mobile Phone
:
Email
:
*
Donation Purpose
:
Where Most Needed in FEBC
Where Most Needed – NZ (tax rebatable)
30 Minutes of Fame (Airtime)
It's a Disaster (First Response Radio)
Radios (Wind-up & Solar)
Mobile Apps & Chips (New Media)
Someone To Talk To (Audience follow-up)
More Power (Electricity)
Overseas Personnel (please specify below)
Other (please specify below)
*
Other / Specify
:
I am happy to receive occasional email updates.
Donation Details
I would like to make a single donation of
$20
$50
$100
Other, please specify below
Amount: $
Credit Card Details
Card Type
:
VISA
MasterCard
*
Card Number
1
:
*
Card Expiry:
01
02
03
04
05
06
07
08
09
10
11
12
/
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
*
Name on Card
:
*
CSC
2
:
*
*
Required
1
The card number should be entered with
no
spaces or hyphens e.g. 1234567890123456
2
The card security code is a 3 or 4 digit number located on the back of your card ( Except Diners ).
Verification:
Please enter the SECURE TEXT that you see above:
*
(A printable tax receipt is obtainable upon submission)
Transactions on this page are processed and secured by Flo2Cash™, an end-to-end payment management solution provider.