#Tatts4TSC Donations and Orders
If you'd like to order Tattoos to support our work or just make a donation please fill in the form below.
Name
*
First Name
Last Name
Email
*
example@example.com
Postal Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Number of Tattoo Packs (5 pcs)
*
The tattoos are in packs of 5 for $20 including postage.
Total Amount
*
prev
next
( X )
NZD
Please enter the total amount you wish to donate. For Tattoo packs this should be a multiple of $20
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
What is your connection to TSC?
I am an individual with TSC
I am a relative of an individual with TSC
I am a medical practitioner
Other
Other
Join our mailing list?
*
Yes, please add my email address above to your mailing list
No thanks or I am already on the list
Submit
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