2020 - Leukodystrophy Once-Off Donation Form

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Credit Card (Visa, Mastercard, Amex)Cheque made out to Leukodystrophy AustraliaDirect Debit BSB: 193-879 Acc No: 457864204

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
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Cheque:

Payee: Australian Leukodystrophy Support Group Inc

Mailed to:

Leukodystrophy Australia
P O Box 2550,
Mount Waverley
VICTORIA 3149
AUSTRALIA

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