DONATION

Tim Winton, Patron, Stop the Toad Foundation

YES, I want to help STOP the cane toad from entering WA.

Please print this page, then complete the form and post or fax to Stop The Toad Foundation with your cheque, money order or to make your donation by credit card.

Stop the Toad Foundation
City West Lotteries House
2 Delhi Street, West Perth WA 6005
Phone: (08) 9420 7266
Fax: (08) 9420 7273

A receipt will be issued. Donations over $2 are tax deductible.

Dear Tim
Please accept the following donation to help stop the cane toad from entering WA. I wish to donate:

|__| $20

|__| $50

|__| $100

|__| $200

|__| $ 500

|__| $1000

Or my choice  $ _______

CONTACT DETAILS :

Name:

Address:

 

Postcode:

Phone:

Fax:

Email:

ACCOUNT DETAILS :

  |__| Mastercard |__| Visa
Card Number   -   -   -  
Cardholder's Name:  
Signature: Expiry Date:

You can save time and postage by donating online: www.stopthetoad.org.au or phone Kim on 0400 130 397.

THANK YOU FOR YOUR SUPPORT!