Yes, I would like to help the Bridge for Asylum Seekers Foundation provide direct support for
"Visa E"and special category refugees and lobby for their better treatment.

Please send me more information about Bridge for Asylum Seekers Foundation

I enclose a cheque / money order / credit card details for a donation of $ _____.00

Name________________________________________Telephone_______________________

Address______________________________________________________________________

Email address_________________________________________________________________


Card No: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Visa / Mastercard Expiry Date ___ ___ / ___ ___

Signature___________________________

I have printed off and filled out the direct debit authority and enclosed it.