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Online registration is now closed. Please phone (02) 9337 3600 to register till 5 pm on Thursday 14 May.
Healthy Canteen Benefit Dinner
Australian Jockey Club
16 May, 2009
We wish to register for;
table(s) at $1150 each for a total of
seats at $115 each for a total of
Donation
We are unable to attend but wish to support Mindd Foundation with a donation;
$100 Friend
$500 Donor
$5000 Patron
$15000 Sponsor
Other Amount
Your donation supports the Mindd mission to help every Australian child reach their full potential through Integrative healthcare.
Would you like your name posted as a donor/supporter on our website?
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No
Total Fee: $
Please enter your contact details
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Please fill in name and email of additional guests
Where did you hear about the our events?
Payment By Direct Debit (our preferred method):
Name: Mindd Foundation
BSB: 032058
Account: 195572
Please send an email with transaction number to confirm payment to
admin@mindd.org
Payment By Credit Card
Click below for secure online payment with Master Card or Visa
By cheque
Mindd Foundation Benefit
PO Box 151
Vaucluse NSW 2030
Please include registration form.
(You will be forwarded to the Paymate site for online payment if you are paying by Credit Card)
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