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House Mate Ollie
The benefits of sponsoring a Seeing Eye Dog puppy
Complete the form below to start your monthly sponsorship today!
* indicates required fields Please note your card will be debited each month on prefered date
Email Address:
*
First Name:
Surname:
Street:
Suburb:
State:
Post Code:
Telephone:
Mobile:
Dog Sponsored:
How did you hear about us?
Big BrotherTV AdPress AdWord of MouthShopping Centre PromoBrochure
How much would you like to donate per month?
$ 30251550100Other *
Credit Card Number: Please note DINERS not accepted
Name on Card:
Expiry:
Card Type:
Prefered Debit Date
15th28th *
To the attention of all our supporters:From time to time, we may allow other like minded charitable organisations to contact you with information that may be of interest to you. In return, these organisations allow us to contact their supporters so that we can reach more generous people like you.If you do not wish to receive communications from a third party, please contact us by:• E-mail at noexchange@seda.org.au• Phone on 1800 037 773• Letter to SEDA, 17 Barrett Street, Kensington, Vic 3031