Leukodystrophy Once-Off Donation Form

Leukodystrophy Australia

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Intended Direct Deposit or Cheque $ Donation Amount

Thank you for your planned donation by Direct Deposit or Cheque. This process requires you to either post a cheque, or complete your donation via your own online banking.

Direct Deposit details:

Bank of Melbourne
Australian Leukodystrophy Support Group Inc
BSB: 193 879
A/C: 457864204
Please enter your name in the Reference field.

Cheque:

Payee: Australian Leukodystrophy Support Group Inc

Mailed to:

Leukodystrophy Australia
PO Box 248
Wahroonga
NSW 2076
AUSTRALIA

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AUDTax Deductible Donation Amount

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