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Donation Receipt Request Form

This document contains a donation receipt template for the Jeans for Genes fundraising campaign. The template collects information about the donor such as name, address, donation amount, and signature to provide a tax-deductible receipt for donations to the Children's Medical Research Institute (CMRI). It includes fields for multiple donations and allows organizations to submit donation information in bulk for receipting.

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ifyjoslyn
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
207 views

Donation Receipt Request Form

This document contains a donation receipt template for the Jeans for Genes fundraising campaign. The template collects information about the donor such as name, address, donation amount, and signature to provide a tax-deductible receipt for donations to the Children's Medical Research Institute (CMRI). It includes fields for multiple donations and allows organizations to submit donation information in bulk for receipting.

Uploaded by

ifyjoslyn
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Jeans for Genes Donation Receipts

Total amount of receipted


donations $___________________

Fill in the following information about your organisation and each


individual person who donated, and send it to : Childrens Medical
Research Institute (CMRI) Locked Bag 23 Wentworthville NSW 2145

Supporter Number:

_________________________

Company Name:

__________________________________________________________________________

Street Address:

_________________________

Suburb:

_____________________________

State:

_________________________

Post Code:

_____________________________

Daytime Phone:

_________________________

Email Address:

_____________________________

Receipt Number:

*This is your 7 digit unique number given to you by CMRI

Date:

(Leave blank for staff):

_____ / ______ / 20____

Received with appreciation, being a donation to Jeans for Genes


Donation Amount:

$_________________________________________________________________________

Donation Amount:

$_______________________

Title: ( Mr / Mrs / Ms / Miss / Other )

First Name:

________________________

Last Name:

______________________________

Street Address:

________________________

Suburb:

______________________________

State:

________________________

Post Code:

______________________________

Email Address:

__________________________________________________________________________

(Written Amount)

(Numerical Amount)

Tax Reference No:

Signature:

Receipt Number:

Date:

AF1595 C SF 5017

(Office Use Only)

(Leave blank for staff):

_____ / ______ / 20____

Received with appreciation, being a donation to the Jeans for Genes


Donation Amount:

$_________________________________________________________________________

Donation Amount:

$_______________________

Title: ( Mr / Mrs / Ms / Miss / Other )

First Name:

________________________

Last Name:

______________________________

Street Address:

________________________

Suburb:

______________________________

State:

________________________

Post Code:

______________________________

Email Address:

__________________________________________________________________________

(Written Amount)

(Numerical Amount)

Tax Reference No:

Signature:

Receipt Number:

Date:

AF1595 C SF 5017

(Office Use Only)

(Leave blank for staff):

_____ / ______ / 20____

Received with appreciation, being a donation to the CMRI Jeans for Genes
Donation Amount:

$_________________________________________________________________________

Donation Amount:

$_______________________

Title: ( Mr / Mrs / Ms / Miss / Other )

First Name:

________________________

Last Name:

______________________________

Street Address:

________________________

Suburb:

______________________________

State:

________________________

Post Code:

______________________________

Email Address:

__________________________________________________________________________

(Written Amount)

(Numerical Amount)

Tax Reference No:


AF1595 C SF 5017

Signature:

(Office Use Only)

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