WPG SCS test form

Personal Details

School Details

Contribution Details

New Contribution

I would like to start making a fortnightly donation to Stewart House
$5.00$10.00$15.00$20.00Other (please specify in 'New contribution amount':)
New contribution amount:

Change Current Contribution

I would like to change my current fortnightly contributions
INCREASE (please specify amount by selecting from values below)
OR
DECREASE (please specify amount by selecting from values below)
AND

Change my current fortnightly contribution amount to:
$5.00$10.00$15.00$20.00Other (please specify in 'Other contribution amount':)
Other contribution amount:

Cancel My Contribution

I would like to cancel my fortnightly donation to Stewart House
Yes, I wish to CANCEL

Your feedback is important to us. In a few words, please tell us why you would like to cancel:

CPI Increase

I agree that my contribution will be deducted from my pre-tax salary under the Department's Workplace Giving program and will automatically increase annually in line with the official CPI.
Yes, I wish to be advised of how my donation is being put to good use by subscribing to a monthly newsletter