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BYLONG VALLEY PROTECTION ALLIANCE
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- 'Bridal Register' Pledges
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Enter below the item
number(s) you wish to contribute toward and the amount(s) you wish to pledge:
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ENTER ITEM NUMBER
(e.g. #001)*
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DESCRIPTION
(Will appear automatically once item number is
entered)
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AMOUNT YOU WISH TO PLEDGE
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1
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2
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3
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4
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5
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TOTAL PLEDGED
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* Make sure you include
the '#' and any '0s' in front of the number, e.g. #022 (not #22 or 22)
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WEBSITE ACKNOWLEDGEMENT
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We will acknowledge all donations on our website. You can choose to have your
name displayed or to be listed as 'Anonymous'
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If you would like to have your name displayed, please fill in the box below
as you would like your name(s) to appear
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(e.g.
"Lisa and Steve Jackson", or "L&S Jackson" or
"The Jackson Family", etc).
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If you would prefer to remain anonymous, please enter ANONYMOUS in the box
below
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Name(s) for acknolwedgement:
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METHOD OF PAYMENT
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By Cheque:
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1.
Make your cheque payable to 'Bylong Valley Protection Alliance Inc'
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2.
On the back of the cheque, list the item number(s) you are contributing
toward and the amount(s)
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3.
Send your cheque to: BVPA, 7690 Bylong Valley Way, Bylong 2849
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By Direct Deposit:
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Account details are as follows:
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A/c name:
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Bylong Valley Protection Alliance Inc
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Bank/Branch:
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NAB, Mudgee
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BSB:
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082726
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A/c number:
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188946753
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Which method will
you be using?
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RECEIPT
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Name(s) for receipt:
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We can send you a receipt by post or by email as soon as your funds are
deposited in our account and cleared.
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For an email receipt, simply fill in your email address details below (and
leave the street address details blank)
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For a receipt sent by regular post, please fill in your street address
details below (and leave the email address details blank)
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- Please
remember that contributions are NOT tax deductible
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Receipt by Email
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(Leave this section blank if you want a receipt sent
by regular post)
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Best email address
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(Please re-enter address to confirm)
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Receipt by Regular Post
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(Leave this section blank if you want a receipt sent
by email and have already filled in your email details above)
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Property Name (if applicable)
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Number / Street
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Town
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Postcode
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THANK YOU for your
generosity!
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