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.

If you have several items to pay for that are to be attributed to separate sections, we would appreciate multiple payments please.
Which section is your payment for?

Other
Full Name
First Name
Last Name/Surname
Reference
If we have given you a reference number to use, please enter it here. These are usually found on eMails received from us. No spaces or other punctuation please.
Or
Address

Street Address

Street Address Line 2

Suburb/Town/CityState

Postcode
Phone Number
Enter your contact phone numberFormat: (00) 0000-0000.
Your E-mail Address
For your receipt
Any other information
Please enter any more information about your payment.
How do you wish to pay?
Amount of Payment
Amount that you wish to pay

AUDAmount to be debited

The bank deposit details will be sent to you via a confirmation email that you should receive shortly. If you don't receive an email, please check you SPAM/JUNK folder or simply resubmit the form.
Calculated Fields
Section Email
example@example.com
For Passing to Square
example@example.com
Calculated Reference
Calculated Square Reference
Amount to pay
Date

DayMonthYear
Date should not be changed
Should be Empty:

Payment or Donation Form