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Surf Lifesaver Outfitting Order Form

A donation to Surf Life Saving will help save lives now and in the future. You can make a tax deductible donation today via our secured online order form below. Alternatively, you can phone us on 1800 642 925 with the details of your contribution.

It’s easy to support surf lifesavers…Just follow these 5 simple steps!

Step 1 Browse through the Surf Lifesaver Outfitting catalogue and select the item/s you would like to donate.
If you don't have a catalogue, click here to download a PDF version.
Step 2. Enter the quantities of the items you would like to donate in the form below.
  ITEM NAME COST QUANTITY SUBTOTAL  
  All Terrain Vehicle $16,000
 
  Defibrillator $5,000
 
  First Aid Kit $400
 
  Loud Hailer $160
 
  Manikin $350
 
  Neck Brace $40
 
  Oxy Viva $3,500
 
  Oxygen Bottle $30
 
  Patrol Pack $50
 
  Patrol Tower $2,400
 
  Rescue Board $1,200
 
  Rescue Tube $120
 
  Rescue Water Craft $20,000
 
  Spinal Board $500
 
  UHF Hand Held Radio $800
 
  I'd like to help wherever the need is greatest with my donation of:
$
 
Step 3. Click on the CALCULATE button to determine the total number of items and the total value of your donations.
    Calculate Totals TOTAL ITEMS
 		 TOTAL DONATION AMOUNT
 
Step 4. Review your totals, adjust your entries if needed and click on Calculate again.
Step 5. Once you are satisfied, enter your contact and payment information below and cilck on DONATE NOW.

Donation Amount

 
I authorise Surf Life Saving Foundation to make an automatic deduction from my credit card for this amount.
* Indicates a required field.

Your Contact Information
Title: 
*
First Name: 
*
Last Name: 
*
DOB: 
*
dd/mm/yyyy eg. 01/01/1980
Daytime Phone: 
*
After Hours Phone: 
Email Address: 
Supporter Number:  (if known)
Your Postage Address (for your tax deductible receipt)
Address: 
*
State: 
*
 Postcode: 
Country: 
*
Your Payment Information
Payment Method
*
Credit Card Number
*
Expiry Date
*
  /     (mm / yy)
Name On Card
*  
Security Code (CCV)
*
  ( The three digits after the card number on the signature panel of your card. )


A gift of equipment for surf lifesavers is a symbolic gift of funding. Money raised will be allocated where the need is greatest.