EmailMe Form - APPLICATION FORM – BRIDGING LANKA CIRCLE

MONTHLY PLEDGE *

$50

$20

$10

Other

METHOD OF PAYMENT *

Bank transfer (see details below)

Cheque made payable to: Bridging Lanka Ltd

Ac Name: Bridging Lanka Ltd
BSB: 063 010
Ac No: 1183 7067
Ref: Your name

Title

First Name/s *

Last Name *

Organisation (if applicable)

Postal Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Mobile Phone *

Other Phone

Email *

Facebook profile name

Please add any comments, questions or feedback here.

Claiming a tax deduction:
Your pledge to the Bridging Lanka Circle is tax deductible and a tax receipt will be issued each financial year.
Bridging Lanka is a charity with the following endorsements:
 Charitable Status with the Australian Charities and Not for Profits Commission
Deductible Gift Recipient status
 Charity Tax Concession with the Australian Taxation Office
ABN: 92 146 209 207 and ACN: 146 209 207

Contact details:
Post: The Secretary, Bridging Lanka, 28 Mellor Street, Kedron Qld 4031
Email: info@bridginglanka.org
Website: https://bridginglanka.org/

Thank you for your support, this regular pledge provides stability for our communities and Bridging Lanka operations.