Updating Community Partner Contact and Payment Details

Thank you for your ongoing support as a Community Partner. We appreciate you taking the time to update your details. If you have any questions about completing this form, please contact our Fundraising team on (03) 9421 7600 or email: fundraising@jss.org.au.

NB: The form below is for updating existing details only.

To sign up for the first time to our regular giving program, please access the Community Partner sign up page here and select “monthly donation”. A member of our team will be in touch to welcome you to the program.

Fundraising Data Migration

Confirm contact details

Name(Required)

Prefix First Last Suffix

Confirm address details

Address(Required)

Street Address Address Line 2 Suburb State Post Code Country

Confirm Email(Required)

Phone(Required)

Updated donation details

Monthly donation amount(Required)

Please confirm the amount you would like to have debited from your card on the 15th of each month

Card Type(Required)

Cardholder name(Required)

Credit/Debit card number(Required)

Expiry date(Required)

How would you like to receive your receipt from us?(Required)

Please send receipts via email

Please send receipts by post

We would like to confirm we have your preferences correct for receiving receipts

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Phone

This field is for validation purposes and should be left unchanged.

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