DONATION FORM

I would like to make a donation to Down Syndrome NSW.

Name *

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Address: *

Mobile: *

Email: *

Payment Details

Amount $ *

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Please find enclosed cheque / cash to 'Down Syndrome NSW'Direct Deposit - BSB: 062315 A/C 00901136Please debit the above amount to my VISA / Mastercard / Amex

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Enquiries: Please contact admininstartion on (02) 9841 4444 or admin@downsyndromensw.org.au

Note: All gifts of $2 or over are tax deductable. Receipt are issued. Down Syndrome NSW values your privacy.

We do not trade your details and do not pass on personal details to any other party.

Down Syndrome Association of NSW Inc (Trading as Down Syndrome NSW)

PO Box 3173 North Parramatta NSW 1750

Telephone - 61 2 9841 4444

admin@downsyndromensw.org.au www.downsyndromensw.org.au

ABN: 39 023 586 389 Registered Charity No CFN11321