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Yes, I would kike to help the Mental Health Program
Contact Us

• Please print and post this coupon (and donation, if applicable) to:
Liz Burgat, Chief General Manager, Mental Health Program
1st Floor, Upton House
Thames Street, Box Hill VIC 3128
    or
  • Email your donation details or enquiries to:
E-mail   liz.burgat@boxhill.org.au
   
Please accept my gift of ...
Mr/Mrs/Miss/Ms
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Payment Details
tickbox My cheque/money order is enclosed.
Please make cheques payable to Eastern Health
tickbox Please debit the amount indicated below to my:
 Bankcard
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 tickbox MasterCard
Visa
 tickbox Visa
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 Credit Card Number
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A receipt will be sent promptly.
Please send me more information about
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 How I can include the Mental Health Services in my will
tickbox Making an in-kind donation
tickbox Sponsorship of hospital programs/research
tickbox How my group can fundraise for you
Thank You
Eastern Health
Clive Ward Centre,  16 Arnold Street,  Box Hill,  Victoria,  3128  Australia
Phone  +61-3-9895 4888     Fax  +61-3-9895 4844