1800 007 224
General Enquiries
Search for:

Home
About
Services
Community
News
Support Us
Careers
Contact

Home
About
Services
Community
News
Support Us
Careers
Contact

Make a Payment Online

Home
Make a Payment Online

Layout

If you have to make payment for a BCH service, simply fill out the form below, with your payment details and click submit.

If you have any issues please contact Finance on 1800 007 224 or [email protected]

First Name *

Last Name *

Email *

Phone

Notes to BCH

Please choose one of the options below: *

Invoice
Debtor ID
Donation

Invoice # *

Debtor ID *

Amount ($AUD) *

Checkboxes *

I have authorised BELLARINE COMMUNITY HEALTH PTY LTD - ABN 16 627 788 836 -031 to deduct the nominated amount from my credit card on receipt of this form.*

Stripe Credit Card *

Card

Name on Card

Checkboxes

I would like a receipt emailed to me (allow 1-3 business days).

© 2022 Bellarine Community Health - All rights reserved | Website powered by Utilitise IT Pty Ltd.

Privacy
Terms

Accessibility Tools

Increase Text
Decrease Text
Negative Contrast
Reset