Name: ________________________________________________
Organisation: (If applicable)__________________________
Street: ________________________________________________
Suburb: ______________ State: _____ Postcode: ________
Email: ________________________________________________
Telephone:____________________ Mobile: _____________
Donation Details
I _____________________________ would like to make a contribution/sponsorship to the Dar Alawda Wendel Street Community Centre for the following amount:
$50.00 $100 $200 $500 $1000 $2000 $5000 Other amount $____________
Can you please send me an invoice to the following:
Name: ___________________________
Organisation: ___________________________
Street: ___________________________
Suburb: ______________ State:_______ Postcode: _______
Signed: ___________________________
Dated: ___________________________
Please print this form and mail to or Email admin@daralawda.com.au
Dar Al Awda (Wendel Street) Community Centre Inc.
1 Wendel Street, Brunswick Vic 3056
Bank Details:
BSB: 063150, Account: 10122489
Commonwealth Bank, Brunswick, Victoria