Cure One Winter Catalogue

Yes! I would like to place an order.
WINTER/SPRING 2019 ORDER FORM
1800 LEPROSY
(1800 537 767)
www.leprosymission.org.au
(Secure website for Credit Cards)
Mail this order form with payment to
The Leprosy Mission Australia Reply Paid 83988 Box Hill VIC 3128
Save time, shop online! leprosymission.org.au Use Coupon Code WINTER19 for Free Shipping for Online Orders $90 or more!
Cure One today!
YES! I will Cure One like Niran!
I want to walk with Niran on his Cure, Care and Restore journey of healing.
Please accept my gift of: (please tick)
$432 up front for the 12 month program
Please contact me to arrange my regular monthly gift of:
$36 a month. My daytime phone number is: ( )
Read
Niran’s story
on Page 34
Sorry! I cannot commit to Cure One. But please accept my one-off gift of $________ to help cure someone like Niran today!
Your details
Mr Mrs Miss Ms Other:
Delivery Address (if different from left)
First Name Surname
This is to be sent as a gift, please send receipts to the address on left
Address
First Name Surname
Suburb
Address
State Postcode Phone
Suburb State Postcode
Email
Details to go on address stickers (item #11013)
Gifts also available IN PERSON from our shop
37 Ellingworth Parade Box Hill VIC 3128
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