APO Future Fund Proposal 2023
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DONATION FORM<br />
Details of Donor<br />
Title ……………………………………………………………………………….<br />
First Name ……………………………………………………………………..<br />
Surname ………………………………………………………………………..<br />
Suffix ……………………………………………………………………………..<br />
Address ………………………………………………………………………….<br />
Email ………………………………………………………………………………<br />
Phone number ……………………………………………………………….<br />
Credit Card Details for Processing<br />
Donation details<br />
I hereby agree to support the <strong>APO</strong>’s <strong>Future</strong> <strong>Fund</strong> for:<br />
$20,000<br />
$10,000<br />
$5000<br />
$2,500<br />
Other………………………………………………………………………..<br />
Signed ………………………………………………………………………<br />
Card type ……………………………………………………………………………………………………………………………………………………………………<br />
Name on Card …………………………………………………………………………………………………………………………………………………………….<br />
Card number (NB. once processed please black out)<br />
…………………………………………………………………………………………………………………………………………………………………………………….<br />
Expiry date …………………………………………………………………. CVV (on reverse of card) …………………………………………………………….<br />
Accreditation<br />
Please specify how you wish to be accredited on the <strong>APO</strong>’s printed materials:<br />
……………………………………………………………………………………………………………………………………………............................................<br />
Or please tick I / we prefer our gift to remain anonymous<br />
The Auckland Philharmonia Orchestra has been granted special exemption by the Department of Inland Revenue as a recipient of tax-deductible donations.<br />
Certificate of Incorporation as a Charitable Trust No. 1729360 Charities Commission Registration No. 23611
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