q Cash donation of $__________________________
q Monthly
donation (cheques or credit card):
Please contact the Treasurer about how to set up monthly donations.
O $5 O $10 O $20 O $50 O $100 O other amount ________________
Starting date:_____________________
q Annual donation of $_____________ per year. Starting date:_____________________
q Interest free loan of $_________________________
Starting date:_______________________________ Repayment:_______________________
q Interest bearing loan of $______________________
Starting date:_______________________________ Repayment:_______________________
- Make cheques payable to Vipassana Meditation Centre Tasmania
- Charge credit card:
VISA/Mastercard #:_______________________________exp. date:_______________________
Signature:______________________________________
q Service/work to offer: construction skills, professional services, labor, cooking, etc:
_________________________ _________________________ ________________________
q Please send me more information about : ___________________________________________
Name__________________________________________________________
Address________________________________________________________
City________________________ State ______ Postal Code___________
Telephone___________________ Email (optional)_______________________________________
Mail to: Treasurer, Vipassana
Meditation Centre Tasmania, GPO Box 6, Hobart
TAS 7001, Australia
Tel. [61](3) 6263 6785; Email: [email protected]