Login to My Giving

Email:Password:

Join GiveNow to access My Giving

• view all your donations
• setup regular donations
• get donation summaries for your tax return

Print out the donation application below to:

• Send to your chosen organisation with your credit card details, cheque or money order
• Fax to your chosen organisation with your credit card details

---

Organisation Contact Details

Appeal Name:	Cassowary Conservation Covenant Appeal - C4 Gift Fund
Organisation Name:	Community for Coastal & Cassowary Conservation Inc.
Address:	P.O. Box 165 MISSION BEACH QLD 4852
Fax:	Sorry, donations
Phone:	07 4068 7197 [So

---

Donor Details — Please Print Clearly

	Tick if you would like to remain anonymous (NB A tax invoice will not be sent)
Name:	Title	First Name	Last Name
Address:
	Suburb	State	Postcode
Phone:	Home	Work
	Mobile	Fax
Email:

Payment Details — Please Print Clearly

I would like to donate		$	to Community for Coastal & Cassowary Conservation Inc.
	Enclosed is my cheque / money order
	Please charge my credit card

Credit Card Details

Card Type:	VISA   Mastercard
Card Number:
Expiry Date:	/	CVV:
Cardholders Name:
Signature:
Date of Donation:

---