Memorial Gifts
Karinya’s
“Memorial Honour Roll”
Making
a Memorial Gift With Karinya Counselling Centre
Because
Karinya promotes living life to its fullest, a Memorial Gift is the perfect way
to leave a permanent reminder of someone special to you. This gift does not need
an occasion, however some people choose to make a memorial gift instead of
leaving flowers at a funeral, or as a way to commemorate the anniversary of
their loved one’s birthday or passing.
The
name of the person, or people being honoured will be permanently written in
Karinya’s Memorial Honour Roll and noted on our website.
If
you would like to leave a Memorial Gift, please contact Karinya on (03) 9802
2886, and we will discuss the options with you. Or complete the Donation Payment
Form below.
Donation Payment Form
YES,
I would like to make a memorial gift, and in doing so assist Karinya in reaching
people with affordable counselling and personal growth services, empowering them
to live their lives to the fullest.
YOUR PERSONAL INFORMATION (Please
complete all fields)
Title:
Surname:
____________________________ First
Name: __________________________________
Postal
Address: __________________________________________Suburb:_____________________
State:
_________ Postcode:
________ Contact Telephone: ______________
Email
Address: _______________________________________________________________________
Name
of the person/people to be honoured with the Memorial Gift:
_____________________
__________________________________________________________________________
Comment about this person/ people: ________________________________________________________
All
of your personal information is private and confidential and will not be given
to any other organization, (please refer to our Privacy Policy for more
information) If you would not like to receive any further correspondence
from Karinya (events and updates) please tick the box
MODE OF PAYMENT: CASH___ CHEQUE___ CREDIT___
CREDIT CARD DETAILS
Type
of Card: Bankcard
VISA Master
Card Amex
Diners Club
Card
Number: ____ ____ ____ ____
Name
on the Card: ________________________________________
Card
Expiry Date: __/__
Frequency
of Donation: Once only.___________ Or Periodic (Frequency) ___________
Amount
of Donation: $__________
Signature
Confirming your donation _______________________
Branch offices are located at Heathmont, Blackburn North,
Karinya Counselling Centres are an Incorporated, not-for-profit, registered
charity.
ABN 54 876 801 530