THIS  FORM ACCEPTS CREDIT CARD PAYMENTS ONLY.

• You will be directed to the ANZ eGate secure payment facility after you have submitted your form.
• If your payment is successful, your transaction receipt number will appear below.
• You will also receive a confirmation email, which includes a copy of your receipt number and the information you have provided on the form.

QuiltNSW does not collect nor store any credit card information in conjunction with this payment facility.