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To enable us to plan ahead, and to respond to situations as they occur, we need regular financial support. If you are able to make a periodic gift by credit card or direct debit – we encourage you to become one of our regular supporters.

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YOUR DONATION AMOUNT (Australian dollars) I wish to donate: * $50     $100     $200     $Other   ($10 minimum) Numbers only, no commas or full-stops   YOUR DETAILS Title * Mr Mrs Ms Miss Dr Prof First Name * Last Name * Date Of Birth Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: January February March April May June July August September October November December Year: 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 Address* Suburb / City* State * NSW QLD VIC SA WA NT ACT TAS OTH If Other:  Postcode * Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian OT British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French S Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Isles Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia FS of Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar N Mariana Isles Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S. Georgia S Sandwich Isls Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka St Helena St Kitts and Nevis St Lucia S Pierre and Miquelon St Vincent and The Grenadines Sudan Suriname Svalbard and Jan Mayen Isles Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Isles Tuvalu US Minor Isles Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Wallis and Futuna Isles Western Sahara Yemen Yugoslavia Former Zaire Zambia Zimbabwe E-mail * Confirm E-mail * Phone Mobile Donation use Unspecified Donation Bali Transformational Adventure Adopt A Mobile Clinic 2020 Balieye Sight Restoration and Blindness Prevention Children's Corrective Surgery Education Assistance Assistance to Desperately Ill Children Equipment Acquisition Gift card (indicate card type and quantity below) God Made Them Blind DVD Water from the Moon - John Fawcett Book Bali Eye on Indonesia Book In Memory of Geoff Anderson Other (with ability to type in project) Details