Shoot For The Moon : Donation Page

$25

Goes towards safe transport to and from cancer treatment

$58

Funds free counseling for people affected by cancer and their whānau

$107

Helps us provide accommodation for those travelling for treatment

Donate as individual Donate as organisation

First Name *

Last Name *

Email Address *

Postal Address (enter manually)

Address Line 1

Address Line 2

Town/Suburb

Postcode

Region

Country

Yes No

Would you like to hear more from us?

Back

Credit Card

Name on Card *

Card Number *

Card Expiry *

CVV Number *

Donation Amount

$0.00

I'd like to add a little extra to help cover fees.

Back

Donate to the cause