One moment please...

Pledge Form for WIRE Giving Week

I would like to make a pledge to donate during WIRE's Giving Week, 5th - 9th May, to participate in the Gift Matching appeal.

Contact Information

Name

First Name

Last Name

Phone

Best number to call on the pledge date

Verify Email

If you selected "Other Amount"

If you clicked "Other Amount", what is your nominated amount?

Pledge Date

Please call me on the following date to process my payment via credit card

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Contact Preference

How to Reach Me

Phone me to collect my payment details

SMS the link to donate on the pledged date

Email me the link to donate on the pledged date

Thank you!

We would love it if you can help spread the word - please like us on Insta, Facebook or LinkedIn and Share, or let us know if you want to put together a fundraising team via our Fundraising Lead, Juanita, at jmclaren@wire.org.au.