DONATION to STOP THE TOAD FOUNDATION

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.

Tim Winton, Patron, Stop the Toad Foundation

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