Annual Appeal Donation Form

I would like to make a donation of:

Amount

$500 Keynote Speaker Sessions
$250 Outreach clinic in rural areas
$150 Exercise Assessment for one person
$100 Personalized Wellbeing & Health Plan
$50 One Peer Support Meeting Session
Other
$

Total amount

Pay/Donate method *

Credit Card

Direct Credit
Make deposit to account
02-1257-0062965-000

Recurring period

One time

Weekly

Every 2 weeks

Once per month

Every 2 months

4 Weekly

3 Monthly

6 Monthly

Annually

Pay processing fee

Message with your donation:

Paying by Direct Credit

Name of account: Multiple Sclerosis and Parkinson’s Canterbury Charitable Trust
Account Number: 02 1257 0062965 000
Particulars: Annual Appeal

Billing Details

Persons name

First name

Last name

Email address

Phone

All donations are tax deductible
You can claim 33.33 cents for every dollar donated.

Find more info on: https://www.ird.govt.nz/

MS and Parkinson’s Canterbury Charitable Trust
70 Langdons Road
Papanui, Christchurch 8053
www.mspc.org.nz