Patron Donation Form

Patron Level

Other amount * Please indicate your donation amount

I would like information about including Sydney Writers' Festival in my will

Yes

Personal Details

Title *

First Name *

Last Name *

Suffix

Address *

Suburb *

State *

Postcode *

Phone *

Mobile *

Email *

Acknowledgment

I would like my donation to be acknowledged as

I would like my donation to remain anonymous

Yes

Name to appear on tax receipt *

Payment

Credit Card Payment

Card type

Credit Card Number If paying by credit card, please input your details. If paying by EFT, find the information below.

Cardholder Name

Expiry Date

CVV

Account Name: Sydney Writers Festival LTD
BSB: 032-044
Account Number: 17 7859

Please enter your name as a reference.