Charity Donation Form

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Charity Donation Form
Please complete all sections of this form. If you wish to donate anonymously please make your donation by cash or bank cheque and leave the 'Contact information'
section blank.
Your donation will help fund Australian children's medical research projects. Thank you for your generous support!
Contact Information
Full Name
Company (if any)
Address
Address (cont)
City
State
Post code
Donation Amount
Other amount
$25
$50
$100
$250
$500
Payment Information
Cheque enclosed (payable to The Financial Markets Foundation for Children)
Cash enclosed (no coins please)
Credit Card:
Card type
Select...
Name on card
Card number
Expiry
Jan (01)
2009
Signature
FAX:
02 9776 4488
Send completed donation forms via fax or post:
POST: Foundation for Children
GPO Box 3655
Sydney NSW 2000
The Financial Markets Foundation for Children (A.C.N. 050 033 835) is a company incorporated under the Corporations Law and is
trustee of a charitable trust of the same name whose purpose is the promotion of the health and welfare of children in Australia.
All transactions by the company are conducted as trustee of the Charitable Trust.

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