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					                                                                                                    P.O. Box 341
                                                                                                Berowra Heights
                                                                                            NSW Australia 2082
                                                                                oneill.foundation@bigpond.com




Please use this form to make your donation.

The O’Neill Foundation is a Prescribed Private Fund under Australian tax laws whose
objectives include sustainable solutions to paediatric health challenges in poor countries.

To help ease the suffering and save the lives of Cambodian children, Make a tax
deductible donation to Dr. Beat Richner and the Kantha Bopha Hospitals through
The O’Neill Foundation.
Donations of $2 and over are tax deductible

Name

Address

Suburb                         Post Code

Contact Phone


DONATION AMOUNT $



           DIRECT DEPOSIT

           If direct depositing, please email your name address and donation amount to
           oneill.foundation@bigpond.com or fax a completed copy of this form to (02) 94564747.
           This will ensure that an Austarlian tax deductible receipt can be issued to you.

           Bank details: National Australia Bank
           Account Name: The O’Neill Foundation Cambodia Trust account
           BSB: 082 057
           Acc no. 853826613

           CHEQUE / MONEY ORDER

           I f donating by cheque or money order, please include a completed copy of this form.
           This will ensure that an Australian tax deductible receipt can be issued to you.

           Please make all cheques payable to: “The O’Neill Foundation Cambodia Trust Account”
           Post to: PO Box 341, BEROWRA HEIGHTS NSW 2082
           Please Fax to: (02) 9456 4747

Personal information is used only to process donations and to issue tax receipts.



Thank you for your kind support!
The O’Neill Foundation

				
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Description: Thank you for your kind support!