Membership Renewal - The Compassionate Friends Victoria

Reference Number

(Optional)

Name*

Phone*

Email*

Membership Amount*

Membership*

Annual Membership

Price: $ 65.00

Membership Renewal. This field was replaced with Membership above but needs to remain here for old entries.

Donation

Donations of $2 or more are tax deductible.

Donation Amount*

Total

$ 0.00

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Membership Product Code

Used to sync payment to CRM and MYOB. Not used anymore, code is now passed as Membership value.

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Donation Product Code

Used to sync payment to CRM and MYOB

Credit Card*

Card Details

Cardholder Name