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Download a PDF of the 2012 Annual Report - Black Dog Institute

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Bequest FormA bequest to <strong>the</strong> <strong>Black</strong> <strong>Dog</strong> <strong>Institute</strong> is a lasting way to assist <strong>the</strong> <strong>Institute</strong> to continue its research and o<strong>the</strong>r programs,and, in turn, help improve <strong>the</strong> quality <strong>of</strong> life <strong>of</strong> people living with depression. If you would like more information on how tomake a bequest, please contact <strong>the</strong> <strong>Institute</strong> [blackdog@blackdog.org.au] or phone (02) 9382 9263.Bequest FormI (name)<strong>of</strong> (address)give, devise or bequeath to <strong>the</strong> <strong>Black</strong> <strong>Dog</strong> <strong>Institute</strong> or its successors, <strong>the</strong> sum <strong>of</strong> $An <strong>of</strong>ficial receipt from or on behalf <strong>of</strong> <strong>the</strong> <strong>Black</strong> <strong>Dog</strong> <strong>Institute</strong> shall be sufficient discharge to my executors who shall notbe bound to see <strong>the</strong> application <strong>the</strong>re<strong>of</strong>.Postal address for donations:<strong>Black</strong> <strong>Dog</strong> <strong>Institute</strong>Hospital RoadPrince <strong>of</strong> Wales HospitalRandwick NSW 2031Please make all cheques payable to <strong>Black</strong> <strong>Dog</strong> <strong>Institute</strong>.BLACK DOG INSTITUTE ANNUAL REPORT <strong>2012</strong> PAGE 80

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