Regular Donation Form - The Centre for Independent Studies

Your Donation

Donation Amount

You’ll be charged this amount each month. Cancel anytime.

Your Details

Title

First Name

Last Name

Email

Receipts will be issued to this email address.

Phone

Country

Street

Suburb/City

Postal Code

State

Payment Information

This is a monthly donation. Your nominated card will be charged automatically each month on the date you make your first donation.

To cancel or change your regular gift at any time, please contact us at cis@cis.org.au or call 61294384377.

Method of Payment

Credit or Debit CardPayPalDirect Deposit (Standing Order)

Name on Card

Card Number

CVV/CVC

To donate via direct deposit, please use the following bank details:

National Australia Bank | BSB 080 356 | Account 100415342

Once you’ve made the deposit, kindly email cis@cis.org.au with your payment details so we can issue a tax receipt and express our thanks.

In submitting this form, you acknowledge and understand that the Centre for Independent Studies (CIS) will be storing your personal information. Please review and ensure you accept the CIS Privacy Policy

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Stripe - Monthly Charge

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