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Donations Advice Form

Donations Advice Form

Please complete this form, print and mail it to us together with your cheque, money order or completed credit card authority to:

Arthritis Tasmania
127 Argyle Street
Hobart
Tasmania 7000
Australia

Your donation is greatly appreciated and a letter of acknowledgement and receipt for taxation purposes will be provided.

Name
Address
Postcode
Daytime Contact Phone
Email
Payment is attached (tick boxes) cheque
money order
visa
mastercard
bankcard
Card number
Expiry date
Name on card
Signature
Date
 

Please send more information on Arthritis Tasmania
I would like information on bequests

I would like to make a donation of:
$100
$50
$20
Other

Please PRINT AND MAIL this form as detailed above.

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This page was last modified on Tuesday, June 24, 2008

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