Please print this form and post it together with your donation. Thank you.
Donation
To: The Secretary Prader-Willi Syndrome Association of Victoria PO Box 92 Kew 3101 Victoria Australia
Please find enclosed my donation of $ . . . . . . . . . . . . . . . . . I would like this money to be used for : Priority activities as decided by the association. In particular (please specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		I understand that donations of $2.00 and over are tax deductible.   Please forward a receipt to me at the address below:- Name (or Organisation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode . . . . . . . . . . . . . . . . . .
Prader-Willi Syndrome Association of Victoria Inc   ABN 93 836 682 679