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Donation form

Event organiser contact details (include full address, email address and contact number)

We would like to keep you informed about the Blind Foundation and other ways in which you can support us. If you do not wish to receive this information, please tick the “No Info” box. Donations of $5 or over are tax deductible.

Name

Contact details for donation receipt - home address including post code, or email address

Date sent to Blind Foundation

Total Raised $

Postcode

Amount

No Info

Thank you for your support Please deposit into the following account: BNZ 02-0192-0028330-08 Reference = Event Name Please either post the completed form to Supporter Care, PO Box 99910, Newmarket, Auckland 1149 or email it to [email protected] Thank you so much for fundraising for the Blind Foundation, we hope you have a fun event.

Blind Foundation

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PO Box 99910, Newmarket, Auckland 1149

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Phone 0800 787 743

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Web blindfoundation.org.nz

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Email [email protected]