email:   australia@hadassah.org
tel:   1800 HADASSAH  (+61 3 9500 2681)

Hadassah Australia Inc

Credit Card Payment Form

Please complete and submit the form below.
When you click "Submit" you will be automatically redirected to Westpac PayWay
for secure processing of your credit card payment.

To pay by EFT or cheque click here

Fields shown with * must be completed.

Your Details:

First Name*: Surname*:
       
Email*: Salutation:
       
Preferred Phone*: Alternative Phone:
       
Address Line 1: Address Line 2:
       
City / Suburb: State: or other:
       
Post / Zip code: Country:
       
       
Total $: < THIS AMOUNT WILL BE CHARGED TO YOUR CREDIT CARD
 
       
  Reason for Payment / Details / Comments:
  Click SUBMIT to continue