Donation to the Ménière’s Research Fund

Please consider a donation to the Ménière’s Research Fund, especially if you are a Ménière’s sufferer yourself, or if you are a friend or family member of a Ménière’s person, or if you are an associated professional person dealing with Ménière’s people. We need to support new research so that we can find better solutions to the problem of Ménière’s. Research sponsored by the Ménière’s Research Fund may well help you, or a member of your family, or other present and future Ménière’s sufferers.

If you would like to make a donation, print this page, fill in the details, and send it with your cheque or credit card details to the address below.

Donations over $2 are tax deductible (for Australian taxpayers).

To:

The Manager
The Medical Foundation
Edward Ford Building A27
The University of Sydney, NSW 2006
Australia

Here is my donation to the Ménière’s Research Fund.

Please post your official receipt to:

Name:

Address:

I am paying by cheque (payable to: Ménière’s Research Fund, The University of Sydney)

I am paying by credit card

Credit card details: Bankcard MasterCard Visa

Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Name on Card (please print): ____________________________ Expiry date: ___ / ___

Amount of Donation: _____________ Signature: ______________________________

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