First Name*
Last Name
Email Address*
Phone*
I want to...(select an option from the drop-down menu)*
Your question or comment*

1. Your Donation

Donation Type

If you'd like to make a regular (monthly, weekly or fortnightly) donation please call us on 8444 5444, or email us at finance@1079life.com, and we'll set it up for you.
Donation Type*
- Once-Off Gift
- Monthly Gift
Your Gift Amount*
- $30
- $50
- $107.90
- $365 (dollar a day)
- $1079
- Other Amount
Other Amount
2. Credit Card
Card Details*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiry Date Security Code Cardholder Name
3. Your Details
First Name*
Last Name*
Organisation
Email Address*
Address
Street Address Suburb State Post Code Country
Phone*
Comments

1. Membership Fee

Details

Membership is for 12 months and helps fund the day-to-day operations of Life FM. Membership is NOT tax-deductible and costs $10.00 (inclusive of GST).
All members must read the below objects of the association and not to do anything detrimental to the best interests of the organisation.
Consent*
I have read and agree to the below statement.
I agree to uphold the objects of Christian Radio Inc in all my dealings with it. I agree to not act in any way that would be prejudicial to the interests or would impair attainment of the objects of the organisation.
Membership Amount*
- 10.00 (including GST)
2. Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiry Date Code Cardholder Name
3. Your Details
First Name*
Last Name*
Email Address*
Phone*
Address*
Street Address Suburb State Post Code Country

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Contact details for a character reference
Name*
Contact number*
Relationship (eg: pastor, friend, colleague)*
Areas of interest for volunteering*
- Select All
- On-air announcing
- Audio production
- General administration
- Events
- Prayer team member
- Appeal support team
Select as many as apply
Why do you want to volunteer with Life FM?*

Title*
Description
Building Name
Address
Start Date
End Date
Start Time

: HH

MM

AM/PM
End Time

: HH

MM

AM/PM
Event Photos
Drop files here or

Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.

1. Your Donation
Donation Type*
- Monthly Gift
Your Gift Amount*
- $20
- $30
- $50
- $107.9
- Other Amount
Other Amount
2. Credit Card
*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiry Date Code Cardholder Name
3. Your Details
First Name*
Last Name*
Organisation
Email Address*
Address*
Street Address Suburb State Post Code Country
Comments
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