Loading
Membership Renewal
Thank you for your membership and support of Ipswich Hospice Care.
The membership fees are:
$15 for Individual
$30 for Couple / Family or Organisation
Please consider adding a tax-deductible donation to support our programs.
Payment can be made by credit card below, or please contact our office for alternate payment methods.
Should you have any queries please contact our office on (07) 3812 0063 or email admin@ipswichhospice.org.au
Contact Information
Contact Name
*
Title
First name
Last name
Organisation Name
Address
Address line 1
Address line 2
City/Suburb
State/Territory
Postcode
Email Address
*
Phone
Payment Information
Membership Renewal
*
Select type
Individual Membership
Couple or Family Membership
Organisation Membership
Add a Donation
$
Total amount
$
Payment method
*
Credit Card
Additional comments
Donations of $2 of more are tax deductible and a receipt will be provided to you from Ipswich Hospice Care Ltd ABN 63 563 946 327. Membership fee includes GST and is not tax deductible.
Please check the highlighted fields
✔
✘