Donation Information
Amount:	. $ 50.00 . $ 100.00 . $ 200.00 . $ 500.00 . $ 1,000.00 Other $     *
Additional Information
Type of gift:	One-time gift Recurring gift
Your chosen gift amount will be debited on the 20th of each month until you advise us otherwise	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer to make this donation anonymously
(Optional) Tell us why you are donating:
I am a current staff member at UniSA:	Yes No
ABN:
Billing Information
Title:	Adjunct Associate Professor Adjunct Professor Air Chief Marshal Assistant Commissioner Associate Professor Aunty Brigadier Commissioner Cr Dame Deputy Lord Mayor Deputy Premier Dr Emeritus Laureate Professor Emeritus Professor Her Excellency Her Excellency the Honourable Hon Judge Major General Mayor Minister Miss Mr Mrs Ms Mx Premier Professor Reverend Scientia Professor Senator Senator the Hon Squadron Leader The Hon The Hon Dr The Hon Mr The Honourable The Right Hon The Right Hon Lord Mayor The Right Honourable The Right Honourable Lord Mayor Dr The Venerable Canon Uncle
First name:		*
Surname:		*
Country:	AUSTRALIA AFGHANISTAN ALAND ISLAND ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRITISH VIRGIN ISLANDS BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO (Brazzaville) CONGO, (KINSHASA) COOK ISLANDS COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC Côte d'Ivoire DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA Gibraltar GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HEARD AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISLE OF MAN ISRAEL ITALY JAMAICA JAPAN JERSEY JORDAN KAZAKHSTAN KENYA KIRIBATI KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTH KOREA NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR ROMANIA RUSSIA RWANDA RÉUNION SAINT HELENA SAINT KITS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAINT-BARTHÉLEMY SAINT-MARTIN (FRENCH PART) SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SCOTLAND SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SOUTH KOREA SOUTH SUDAN SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN ISLANDS SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY US MINOR OUTLYING ISLANDS UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS US WALES WALLIS AND FUTUNA ISLANDS WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE No Address No Address - Aus No Address - Int WEST AFRICA	*
Address lines:		*
Suburb:		*
State:	<Please Select> ACT NSW NT QLD SA TAS VIC WA Abu ACE AIC AL AKA AB Als AL. AP AH APU AZ AR AS Atp AKL BW BAG BA BAL BAN BWJ BL BAV Bes BJ Bel BEN BRK BE BT BB BC BH B.L B CA CAN Cav CE CEB CEN Chw CHA CHI CHO COA CO CT COL CUN DLK DAK Dal DDN DS DE DL DHA DF DKI DN Dun JTM KAL ENT ESP EC EHP Ehi ELB EPW ESF ES FAR FCT FT Fle FL FUJ Fus FUT Fuz GAG GAN GT GA Gif Gir GOA GO GD GUZ GU GJ GUN GYE GS HT Had HAI Ham Han HAR HI HB HE HEI HEN HN HP Hir HKG HKI Hon HUB HUN HYO IL IN INN IA JAK JB JT JAW JH JIA JIX JI JOH KS KAR KDH KEL KEN KY KER Kha NWF KOR KLN KL KUA LOS LAG LAD LI LAR LT LIA LN Lis LIN LON LA Lyo Mac MP MH MAH ME ML MAN MB M.A MD MA May MAZ MEL MI MG MN MS MO MZ Mod MT MUS Nag Nan KZN NCD NEG N.S Neu NV NB NH NI NJ NM N.T NY NL NHA NON NO NC NOR ND NOG NH. NW NS. NS Nov Nue NU ORI OH Oka OK ONT ON OR OSA OSL OTA Ove PAH PAM PAP P.A PR PEN PA PER Pl PI PZ PE PB QAT QIN QB QC RAJ RKP RE RHO RAU RJ RN RS ROG SAB SAM S.C San SP SAR SK SEL SEO SE SHN SH1 SHA SHX SHT She Shq SHI Shk SIC SI2 SIN Ska SC SD SOG SSL STL STA SMS SUM Suq SUV Suz TA1 TAI TAM TEH TS TN TR TX TIA TG TO TYO T.M Tut TYS ULS UpA UH UT UP UK VS Var VT VDL VL VA VIR DC WA. Wei WLG Wen WB WJ WKA WM NTB WC WHP WPD WLK WiU WP WI XIN Yam YOG YUN Zan ZHE ZOU --- WY Ha	*
Postcode:		*
Mobile:
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express Diners Club MasterCard Visa	*
Card Expiry:	01 02 03 04 05 06 07 08 09 10 11 12  / 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042	*
Card Security Code:		*
Matching Gifts
	My company will match my gift
Company:		*
Additional Security
This is a security measure to help prevent fraud.
Unable to load the reCAPTCHA image. The public key (6LdNdgElAAAAAAyHPcRmWFQDTsuQql1raKTO1Gyz) might be invalid for this domain. reCAPTCHATM Enter the text: Type what you hear: * Get a new challenge  |  Get an audio challenge Get a visual challenge

For Direct Bank Transfers simply pay direct to:
UNIVERSITY OF SOUTH AUST FOUNDATION
BSB: 085-005
Account Number: 644246671
For International transfers:
SWIFT: NATAAU3303M
Reference: GWS
Remitter name/email: Please include your name/email for receipting purposes

Your data: When you make a donation, your name and contact details will be stored on the Advancement Services secure database. Your credit card number is encrypted in a secure online vault through our payment system. We may use your data to contact you by mail, email, telephone and social media for a range of activities, including thanking you for your donation, receipting your donation, sending University publications, notification of events, research updates, and for fundraising programmes. You will have the opportunity to opt out of these communications. We will never sell or share your personal information with other organisations. The University of South Australia respects the privacy of your personal information by adhering to privacy laws. View our privacy statement