Print and Post Form
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Please print and post this coupon (and donation, if applicable) to:
Maroondah Hospital, PO Box 135, Ringwood East 3135
Attn: Fundraising Coordinator
Mr/Mrs/Miss/Ms
Address
Postcode
Day time phone
Email
My cheque/money order is enclosed.
Please make cheques payable to Maroondah Hospital.
Please debit the amount indicated above to my:
Bankcard
Mastercard
Visa
Account No.
Name on Credit Card (print)
Signature
Expiry Date
/
A receipt will be sent promptly.
Becoming a volunteer
How I can include Maroondah Hospital in my Will
Making an in-kind donation
Sponsorship of hospital programs/research
How my group can fundraise for you
Maroondah Hospital
, Davey Drive, Ringwood East, 3135
Phone (03) 9871 3333
maroondah.hospital@maroondah.org.au