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