Membership & Donations - Maurice Zeffert Home

Membership

Membership of the Maurice Zeffert Home (Inc) is important.

It offers you the opportunity to participate in the governance of the Home through the Annual General Meeting and to receive correspondence and notification of events throughout the year.

All you will need to do is fill in the attached form and Donate $25.00 for your Membership.

Membership Renewal

MEMBERSHIP RENENWAL FORM

Membership cost is $25.00 per person, per annum. Any donation given in addition to the membership subscription is tax deductible. Maurice Zeffert Hoe (Inc) A Public Benevolent Institution is endorsed as a Deductible Gift Recipient.

MEMBER REGISTRATION DETAILS * These details must be provided.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone:

Mobile:

No. of Memberships (QTY):

x $25 Each = $

Please List Members Name:

Please List Member Name:

I WOULD LIKE TO MAKE A TAX DEDUCTIBLE DONATION OF $

TOTAL PAYMENT MEMBERSHIP & DONATION $

Card Holders Name:

Mastercard

Visa

Credit Card

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Email Address:

Signature:

THANKYOU We are Greatful for your Continued Support !