Rebuild La Mama Donation
Thank you for helping us raise the money needed to rebuild our beloved La Mama. We really appreciate your support.
Any queries, please contact Caitlin (caitlin@lamama.com.au) and/or Tim (tim@lamama.com.au) on (03) 9347 6948.
Email address *
Name *
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Phone Number
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Address
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Donation Amount *
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Are you happy for your donation to be listed on the La Mama website, Annual Report and honour board at the New La Mama? *
How would you like your donation named in the published list of donors ? (e.g. the Jones family or Jenny and Bob Jones) *
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How would you like the receipt for your donation to be sent? *
How would you like to make your donation? *
Further comments, questions or requests for further information
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A copy of your responses will be emailed to the address you provided.
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This form was created inside of La Mama Inc.