Thank you for your donation to BJE's Kol Nidre Appeal.
To make your donation, please complete the details below and press the 'Submit Donation' button,
being careful to press the button ONCE only to avoid multiple payments.
Please note that it may take a moment or two for your donation to process. 
We advise that credit card details submitted below are handled securely
by our payment gateway, Securepay, which processes
online credit card donations/payments on BJE's behalf.
Privacy Policy
Your privacy is important to us!
Personal information submitted using the form below
is handled in accordance with BJE's Privacy Policy
which may be viewed online at 

Your Donation:

Donation Amount $ *
Card type * *
Name on card *
Credit Card Number *
Expiry Date *


Donation Payment Options *
Regular giving installments are processed on the 15th of the month for 12 months.

Your Details:

Title *
First Name *
Surname *
Company (if applicable)
Email *
Mobile/Phone *
Address *
Suburb *
State *
Postcode *

Serial No. (on your donation card, if applicable)
Receipt to be made out in the name(s) of *
Donation made in memory of (for donations of $360 & over)
Have you moved in the last 18 months? If so, in which suburb did you previously live?

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