Donation form

01-Jun-2016

Epilepsy WA relies on donations given to us by members of the public. We do not get funded by governments and raise our funds ourselves.

These funds are used to provide services in a number of areas as follows:
• Advocacy services
• Awareness programmes
• Support Groups in a number of suburbs
• School engagements to conduct education sessions
• General support and advice
• Referrals to a number of other agencies for the provision of additional services

As we come up to the end of June we are aware that a number of our members and corporate donors will be looking to get their tax affairs in order. All donations to Epilepsy WA are tax deductible.

Please consider us as your charity of choice. Give us a call on 08 93467699 or on email at eo@epilepsywa.asn.au and we can send you details of the bank account etc.

Please don’t hesitate to have a look at our Facebook page and Website atwww.epilepsywa.asn.au







Donation Form to Epilepsy WA

Bank details: CBA, Subiaco, WA

BSB No: 066125

Account number: 0090 0667

Name of Account: Epilepsy Association of Western Australia

I/We wish to make a donation of $ ___________ to the Epilepsy Association of WA.

Our Credit Card Details are:

Card Type: Visa/Mastercard

No________/__________/________/_______

Expiry Date ______________/______________

Name on Card ___________________________

Direct Debit to the account details above

Cheque/Money Order enclosed

Our details:

Name and Address:

Email and Phone numbers: 



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