Hotel Booking Payment | Graduate House

About the donation
Donate to:
- Graduate House 2020 Christmas Appeal
- Christmas Appeal and Other
- Other
Other:*

Please let us know where you would like your donation to be directed
Other (+ Christmas Appeal)*

Please let us know where you would like the 'other' part of your donation to be directed. You donation will be split evenly between both the Christmas Appeal and this 'other'.
Your donation amount*
- $100,000
- $50,000
- $25,000
- $10,000
- $5,000
- $2,000
- $1,000
- $500
- Other amount
$50,000 donation
Price:
We could not be more grateful for your incredible generosity!
$50,000 donation
Price:
Golly gosh - many many thanks!
$25,000 donation
Price:
Gosh - many thanks!
$10,000 donation
Price:
Very generous!
$5,000 donation
Price:
Generous!
$2,000 donation
Price:
Very nice!
$1,000 donation
Price:
Most kind!
$500 donation
Price:
Thank you!
Donation amount

Please type your donation amount

About the donor
Donation by:
- Individual
- Company
- Trust or other similar fund
- Other funding entity type
Donor name*
Company Name*
Trust or fund name*
Name of other funding entity type*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I wish to be named as a supporter
- Yes
- No
^Yes' indicates that you are happy to be acknowledged (first name and surname) for your donation in our publications. 'No' indicates that you wish to remain anonymous. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.
The company is to be acknowledged
- Yes
- No
^Yes' indicates that the company name will be acknowledged for the donation in our publications. 'No' indicates that the company name will not be given. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.
The funding entity is to be acknowledged
- Yes
- No
^Yes' indicates that the name of the funding entity will be acknowledged for the donation in our publications. 'No' indicates that the funding entity will not be named. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.

Payment of the donation
Payment method*
- Debit/Credit Card
- Cheque
- Bank Transfer
- Direct Debit
Donation frequency*
- once-off
- weekly
- monthly
- annually
Credit Card*
Card Details
Cardholder Name
Please direct cheque to The Graduate Union of The University of Melbourne Inc.
Bank Transfer Details
Account Name: The Graduate Union of The University of Melbourne Inc.
Bank: National Australia Bank
BSB: 083 170
Account Number: 515612137
Swift Code: NATAAU3303M
Description: Surname_Firstname_2017
Financial Institution*
Account Name:*
BSB:*
Account Number:*
Swift Code:
Start Date:*

Day
Month
Year
Total
$ 0.00
I would like to give regularly through my selected payment option*
I agree to the Automatic Payment Service Agreement.
Automatic Payment Service Agreement
I would like to give regularly through my selected payment option*
I agree to the Automatic Payment Service Agreement.
Automatic Payment Service Agreement
I would like to give regularly through my selected payment option*
I agree to the Automatic Payment Service Agreement.
Automatic Payment Service Agreement
Signature*
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Your Details
Name*
Prefix First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Number / Telephone Number*
Email
I wish to be named as a donor*
- Yes
- No
^ Yes' indicates that you are happy to be acknowledged (first name and surname) for your donation in our publications. 'No' indicates that you wish to remain anonymous. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.

Payment
Total
$ 0.00
Method of Payment*
- Debit/Credit Card
- Cheque
- Bank Transfer
- Direct Debit
Bank Transfer Details
Account Name: Diamond Jubilee Campaign
Bank: ING Bank (Australia) Limited
BSB: 923 100
Account Number: 6079 1331
Swift Code: INGBAU2S
Description: Surname_Firstname_2018
- Directed to The Graduate Union of The University of Melbourne Inc.
Credit Card*
Card Details
Cardholder Name
Financial Institution*
BSB*
Account Number*
Frequency**
- Weekly
- Fortnightly
- Monthly
- Yearly
Commencing:*
DD slash MM slash YYYY
I would like to give regularly through my selected payment option*
I agree to the Automatic Payment Service Agreement
Automatic Payment Service Agreement
Signature*
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.