Online Payments

Conveniently pay your invoice online using your credit card, through our secure payment gateway. You will receive an email receipt shortly after your payment is processed.

For assistance please phone 03 5320 4002 Monday to Friday, 9am-5pm.

Company

Salutation*

First Name*

Last Name*

Address*

City/Suburb*

State*

Postcode*

Phone

Email* *Required field

I am happy to receive material via email regarding Grampians Health Ballarat fundraising opportunities, promotions and events

Reference Number* E.g. Invoice, Admission, Customer, UR or Account Number

Amount* $

All credit card payments are processed through our secure merchant gateway

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