Make an Online Donation

Thank you for choosing to make an online credit card donation to Wellington Free Ambulance, New Zealand's only free ambulance service.

Please enter your details in the form below - note that all Credit Card information is encrypted so it is safe to send over the internet.

Thanks for your support!

Your Personal Details
For receipting purposes. * denotes a compulsory field
     

Title:

 

   

First name:

 

*

   

Last Name:

 

*

   
Email Address:   *
   

Company: (if applicable)

 

   

Street address:

 

*
   

Suburb:

 

*
   

Town/City + Postcode:

 

*
   

Telephone:

 

 

 

Donation Information

Donations to Wellington Free Ambulance of NZ$5 or more are tax deductible
     

I wish to donate: ($)

 

     

 

Yes I need a Tax Receipt for this donation
  No, I don't need a Tax Receipt for this donation
   
Additional Information eg: donation is for specific project or in memory of:  
     
Yes I would like to be sent:
A monthly email from WFA about service news and upcoming fundraising events
Information about becoming a Dedicated Donor (making regular donations)
Information about leaving a bequest to WFA

 
   
     
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