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  • Send to your chosen organisation with your credit card details, cheque or money order
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Organisation Contact Details

Appeal Name: Sydney to Surfers Cycle Ride
Organisation Name: Rotary Club of Engadine
Address: PO Box 54
ENGADINE NSW 2233
Fax: 02 9520 9820
Phone: 02 9523 0701

Donor Details — Please Print Clearly

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Name: Title First Name Last Name
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Payment Details — Please Print Clearly

I would like to donate $ to Rotary Club of Engadine
  [ ] Enclosed is my cheque / money order
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Credit Card Details

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