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Individual Organisation Household

First Name:

Main Contact First Name:

Last Name:

Main Contact Last Name:

Organisation Name:

Household Name:

Email :

Preferred Password: Show

Confirm Password: Show

Post Code:

Mobile:

Street:

City/Suburb:

State:

Country:

Profession:

Industry:

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Donated Item	Single	Quantity	Cost	Status
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Transaction Fee (1.5%):
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Donated Item	Single Price	Quantity	Total Price	Status
Sub Total
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Transaction Fee (1.5%):
Grand Total

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