Donate

If you would like to make a donation to the Australian Speak Easy Association, please print out this form and post it to 
National Treasurer
Australian Speak Easy Association
25 Nullabor Place
Yarrawarrah  NSW  2233


Title Mr/Mrs/Ms Name: ……………………………………………………………………………………………..

Postal address ………………………………………………………………………………………………………..

……………………………………………………………………………  (Post Code)  ……………………………

Email: ………………………………………………………………. Phone: (……) ………………………………

I enclose a cheque for a donation of $…………………………………. ( ) (tick if receipt required)

or charge $ ………………………….. to the following card: ( ) Master Card ( ) VISA

Name on card: ……………………………. Card No: … … … … – … … … … – … … … … – … … … …

Expiry Date ……../…….. Signature: …………………………………………………………………………….

The ASEA is a registered Public Benevolant Institution (DRG 486 946)

 Donations over $2 are tax deductible

Cheques should be made payable to ‘Australian Speak Easy Association’ or ‘ASEA’