Help us make a difference

Yes! I would like to make a donation to help those in need.

Your donation will give lasting help to the people from Otago in need of help and assistance.

Complete the form below. You can select a one-off donation, or make a regular monthly donation.

Areas we need your help

First name *

The "First name" field is required.

Last name *

The "Last name" field is required.

Postal address *

The "Postal address" field is required.

Post code *

The "Post code" field is required.

Postal city *

The "Postal city" field is required.

Country *

The "Country" field is required.

Email address *

The "Email address" field is required.

Organisation

The "Organisation" field is required.

How much would you like to give?

The "How much would you like to give?" field is required.

Please enter amount (digits only) in box below

Please enter the amount you want to donate

Check if you wish the donation to be a recurring/monthly one

The "Check if you wish the donation to be a recurring/monthly one" field is required.

Frequency of payments

The "Frequency of payments" field is required.

Campaign to support

The "Campaign to support" field is required.