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Post Gift Donation Form
Deaf Services Queensland
915 Ipswich Road
PO Box 465
Moorooka QLD 4105
Voice: 07 3892 8500
TTY: 07 3892 8501
Fax: 07 3392 8511
MY GIFT
Yes, I would like to make a donation of: ($AUD) $
donations over $2 are tax deductible
My cheque payable to Deaf Services Queensland
Card Type:
Visa Mastercard Amex
Name on card:
Card Number:
Expiry:
MY DETAILS
Title: First Name: Middle Initial:
Last Name:
Company Name:
Address (1)
Address (2)
Suburb: Postcode: State:
Phone Number: Mobile Number:
Email:
Please post to:
Deaf Services Queensland
Fundraising Department
PO Box 465
Moorooka QLD 4105
Thank you for helping Deaf and hard of hearing people become empowered, connected and achieving.