The Australian Doctors' Fund is here to ensure freedom and quality of healthcare in Australia. Our campaigns rely on ongoing financial support. You can help the Australian Doctors' Fund by making a donation using the form below.
Please print this page and mail or fax to
Australian Doctors' Fund
PO Box 12, Arncliffe
NSW 2205
Telephone: 02 9567 5595
Facsimile: 02 9567 4050 .
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| Work Phone:
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| Home Phone:
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| Please tick one: __Cheque enclosed for $............... or __ Please debit my Credit Card for $............... |
| Card Type (please circle): | Amex | Diners | Mastercard | Bankcard | Visa |
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| Card No: ............................................................................................... Expiry Date: .................... |
| Cardholders Name: ........................................................................................................................ |
| Signature of Applicant: |
