Wanneroo Community Men's Shed Payment Form

Payment or Donation Form

For making Payments to the Men's Shed
Please use this form if you are making a payment to the Wanneroo Community Men's Shed.
Which section is your payment for?*

Computer SalesWorkshop (Wood or Metal)RecyclingDonation to the Men's ShedOther
Full Name*

First NameLast Name
Reference*
If we have given you a reference number to use, please enter it here. No spaces please.
Or

I don't have a reference number
Address

Street Address

Street Address Line 2

Suburb/Town/CityState

Postcode
Phone Number
Enter your contact phone number
Your E-mail Address*
example@example.com
Any other information
Please enter any more information about your payment.

Payment*

AUDAmount that you wish to pay

Payment or Donation Form