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Your
donations will help fund
OUR
local community to build skills and confidence to be WELLfed.
Name
*
First name
Last name
Preferred Name:
*
Business / Organisation (if applicable)
Email
*
Cell phone
*
Location
Hutt Valley
Kapiti Coast
Other - Outside of Wellington Region
Porirua
Wellington
Be a part of the WELLfed community!
Which supporter will you be?
*
General donor
Give $100
Key 50
Payment frequency
Today we can only take one off payments or cash - But we do love recurring payments! So, if that is your choice we will be in touch via email with further details.
One time
Weekly
Every 2 weeks
Once per month
4 Weekly
3 Monthly
6 Monthly
Annually
Thanks for supporting WELLfed today!
Amount
*
$20.00
$50.00
$100.00
$250.00
$500.00
Other amount
$
$20.00
$50.00
$100.00
$250.00
$500.00
Other
$
Donation Prompt
Current donor to WELLfed
Email from WELLfed
Social media
Speaking engagement
Volunteering
Word of mouth (friends, family, others)
TOTAL DONATION AMOUNT
$
Payment Option
Pay/Donate method
*
Online Banking/Direct Credit/Automatic Payment
Make deposit to account
WELLfed's bank account details will be sent to your email once you have submitted this form.
Pay in person at WELLfed
If you would like to 'Pay at WELLfed reception' we can accept Visa and Mastercard contactless transactions during office hours.
As we are a registered charity,
donations over $5 are eligible for a tax rebate
, that's a third back!
Would you like to join our newsletter & special events mailing list?
*
No
Yes
4 newsletters per year including exclusive content, along with alerts about any special WELLfed events.
Your details will not be shared with anyone or used for any other purpose, and you can opt-out at any time.
Thanks for pledging to donate to WELLfed, you will receive a follow-up email with all details on how to process your online transfer.
Please check the highlighted fields
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