Use this form for donations via - electronic funds transfer to the PMS Museum Assoc Inc bank account. BSB 302 162 Acct: 126455-6. OR - credit card. Card details are not retained on the website. For payment by cheque close this form and select Donation by Mail form Family Name Now: * Given Names: * Preferred Name: * Title (eg. Mr, Dr): * Postal Address Line 1: * Postal Address Line 2: Town/Suburb: * Post Code: Country Home Phone: Work Phone: Mobile Phone: Email Address: Amount Donated * Select Method of Payment EFT to BSB 302 162 Acct: 126455-6Visa CardMastercardAmex Credit Card Number Expiry Date Security Number Cardholder's Name If you are human, leave this field blank.