Donation

1 Donation Details

2 Personal Details

3 Payment Details

• Thank you for supporting the Prince of Wales Hospital Foundation and our mission to advance the health of Australians by connecting generosity to support innovation and excellence in patient care, research, education and health promotion at The Prince of Wales Hospital. Your gift will help our hospital staff fulfil their commitment to personalised, excellent care for each of our patients.

• Regular Givers are the life blood of our Foundation

  Monthly giving is the most valuable way you can support the work we do. It is a commitment to donate an amount of your choice each month to the Prince of Wales Hospital Foundation. It is one of the most effective ways you can support the work we do and is convenient and easy to get started.

  Regular donations are debited from your credit card or bank account automatically on the 15th of every month, with a receipt for the total annual contribution issued at the end of each financial year.

  Please click 'next' to set-up Regular Giving from your credit card.

  If you wish to make the payment via Direct Debit from you bank account please download and read our Direct Debit Service Agreement.

  Direct Debit Service Agreement

  If you are happy to have your donations debited from your bank account, please download and complete this form and return it to us. No further action is required on this electronic form if you choose this option.

  Direct Debit Request

• I want my donation to go towards:*
  Life Changing Appeal - Urology UnitDelirium Research FundThe Louisa Hope Fund for NursesThe area of greatest needBecome a Regular GiverIn memory of a loved oneIn celebration of a loved oneThe Richie Benaud Fund for Cancer PatientsThe Nelune Comprehensive Cancer CentreThe Grateful Patient ProgramHeadspace - Bondi Junction
• If the donation is in memory of a loved one please name the loved one*
• Would you like to dedicate this to a Department? If not leave blank.
• If the donation is for a special occasion please tell us what it is*
• Would you like to dedicate this to a Department? If not leave blank.
• Would you like to dedicate this to a Department or staff member?

• Your Details

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• Email Address (your receipt will be sent to this address)*
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• First Name*
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• Address*
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  Please choose oneExisting supporterWord of mouthWeb search (Google etc)Fundraising websiteNewspaperRadioTelevisionMailoutOther
• If Other above please let us know how you heard about us.*

• With your donation of $83 you can sponsor a therapeutic workshop for spinal patients within the rehabilitation ward, that helps build patient wellbeing and reduces any isolation

  Please fill out your payment details below

• I would like to make a donation of*
  AU$55.00AU$83.00AU$104.00AU$125.00AU$250.00Other
• If other please nominate the amount
• Credit Card
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