Bendigo Health Fundraising & Foundation

In loving memory of Murray - I would like to set up this fundraiser in lieu of flowers

Select amount to donate

$25

$50

$100

$200

$

Donate

Personal Donation Company Donation

Title

First Name*

Last Name*

Email Address*

Mobile

Postcode

Postal Address

Address Line 1

Address Line 2

Town/Suburb

Postcode

State

Country

Leave a Message (Optional)

Name to appear on page (Optional)

I'd like to remain anonymous to the fundraiser

Credit Card

Name on Card *

Card Number *

Card Expiry *

CVV Number * Donation

$

I'd like to add a little extra to help cover fees.

Thank you to my Sponsors

$1

Carlie Ryan

Contact us

Bendigo Health Fundraising & Foundation
100 Barnard Street
Bendigo VIC 3550

PO Box 126
Bendigo VIC 3552

T: 1300 243 000
E: bhfoundation@bendigohealth.org.au

Bendigo Health Foundation Charitable Trust
ABN: 13 340 801 870

Bendigo Health
ABN: 26 875 445 912

Visit Bendigo Health website :

How would you like your donation directed?

Choose where money is directed *

If other, please add details here