Home | What we can do for you | What's hot from the flame | Family Support | Shop Window | Other Links

!For up to date information about the work of Epilepsy Queensland please visit our new website www.epilepsyqueensland.com.au

 

Yes, I would like to support the work of Epilepsy Queensland Inc and help improve the quality of life of those whose lives are touched by epilepsy...

Please complete the online form below and we will be in touch with you regarding payment options.

If you do not wish to use the online form, you can email, post or fax your donation details to us instead.  

PO Box 1457, COORPAROO BC QLD 4151 or Fax: (07) 3435 5025.  

Otherwise, give us a call on (07) 3435 5000 or 1300 852 853 (outside Brisbane) and we can help you.

We do so hope we can rely on your support and we look forward to receiving your donation.  

Best Wishes from everyone at Epilepsy Queensland. 

I would like to make a donation...

Title   First Name  Last Name 

Organisation (if applicable)

Telephone:                  Mobile:    Fax:

Email:                      

Postal Address:          

                               Post code:

I would like to make a donation of   $ 

The best time to contact me is  

THANK YOU FOR SUPPORTING THOSE 80,000 QUEENSLANDERS WITH EPILEPSY.

EQI Links:

Home | Top of this page | What we can do for you | What's hot from the flame | Family Support | Shop Window | Other Links

Copyright 2001 Epilepsy Queensland Incorporated
Designed by NETworkers Pty Ltd - www.networkers.com.au