Bendigo Health Fundraising & Foundation

Select amount to donate

$25

$50

$75

$100

Donate

Personal Donation Company Donation

Title

First Name*

Last Name*

Email Address*

Mobile

Postcode

Postal Address (enter manually)

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.

We are fundraising for...

We've signed up to participate in the 2022 Move for Mental Health challenge because we want to help raise funds to improve mental health services for patients throughout the Loddon Mallee region. 100% of the proceeds go to Bendigo Health. Please support our efforts by making a donation or sharing our fundraising page to your social network, thank you.