#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
*
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next
( X )
NZD
Please enter the total amount you wish to donate. For Tattoo packs this should be a multiple of $20
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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
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