Donation Form

I would like to make a donation of:

Amount

$50.00
$100.00
$200.00
$500.00
Other
$

Total amount

Pay/Donate method *

Credit Card

Recurring period

One time

Weekly

Every 2 weeks

Once per month

4 Weekly

3 Monthly

6 Monthly

Annually

Pay processing fee

Message with your donation:

Paying by Direct Credit

Name of account: MS and Parkinson’s Canterbury
Account Number: 02 1257 0062965 000
Particulars: Donation

Billing Details

Persons name *

First name

Last name

Persons address

Address Type

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Organisation name

if applicable

Email address

Cell phone

Home phone

Remember to claim back the tax for all your donations.

You can claim 33.33 cents for every dollar you donated to approved charities and organisations.
For more information got to: https://www.ird.govt.nz

THANK YOU FOR YOUR SUPPORT

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