First Name:
*
Last Name:
*
Address Line 1:
*
Address Line 2:
City/Suburb:
*
State:
*
Country:
*
Post Code:
*
Contact Phone:
Email Address:
*
Tick option(s): (tick one or more options)
I would like to become a member of MAMI or renew my membership1
(suggested annual fee for a family or single wage earner is $10; and Pensioners $5)
I would like to make a donation to MAMI1
I would like to enrol a name on the Register of the Dead
(Suggested offering $10 for enrolment, $10 for certificate, This is not tax deductable)
I would like to make a donation to overseas missions on behalf of someone and receive a gift card/s.
I would like to order "Year for Priests" Gift Card(s).
(Minimum suggested donation $25)
Enrolment Instructions/Comment: DO NOT enter credit card details here.
Total Donation ($AU):
* dollar and cents format
I require a receipt for tax purposes.
(1 Donations to MAMI are tax deductible)