Test 2 | Eudunda Family Heritage Gallery

Application for Friend of the Gallery (EFHG)

Membership Details

Your Subscription for the year 2022 to 2023 is $10.00

To the Treasurer:

Eudunda Family Heritage Gallery Committee

19 Bruce Street, Eudunda, SA, 5374
Phone: (08) 8581 1552 (during opening hours only)

Your Details

Your Last Name (required)

Your First Name (required)

Your Email (required)

Your Postal Address (required)

Suburb (required)

Postcode (required)

State

Country (No need to enter unless OUTSIDE of Australia)
Please note that payment details may differ for Overseas Payments

Please enter either a Mobile or Home Phone (or both)
Your Mobile Phone Number

Your Home Phone Number

Choose How To Pay

WARNING:
CREDIT CARD PAYMENT IS CURRENTLY IN TEST MODE - YOU WILL NOT BE CHARGED

Test credit card number is 4200 0000 0000 0000, OTHER FIELDS HAVE ANY DETAILS

EFT Payment

Payment Method is by 'Electronic Funds Transfer (EFT)'

Commonly called 'Bank Transfer'.

Our Bank Details are:-

Account Name: Eudunda Family Heritage Gallery
Bank: BankSA
BSB: 105-023
Account Number: 029 122 240
Reference: Your Name and add 'FOG' (so we know what payment was for)

You Can Continue From Here By Clicking The SEND Button Below
Please Don't Forget To Make You Payment At Your Bank. We will remind you in the email we send you with these details.

Credit Card Payment

You can pay straight away!
It's really quick, easy and secure.
Payments are processed by an Australian Gateway - 'Pin Payments' and you connect securely.

Pay your Membership Subscription of $10.00 by clicking this button

OR If you like you can also donate the 48 cent Processing fee, of 48 cents,
Membership $10.00 + 48 cents, TOTAL = $10.48 by clicking this button

After Making Online Payment, You Can Continue From Here By Clicking The SEND Button Below

"Thank You For Supporting the Eudunda Family Heritage Gallery as a 'Friend of the Gallery'"
P.S. Don't forget to send this form in to us by clicking the SEND button below

Further Details

Your Message (You may wish to tell us more).

Upon pressing send, you should be redirected to the main page, and also receive an email from us to the email address you entered here. (that may take a short while to come through).

If you are having any trouble making a payment, why not contact us directly on the web form.