What type of donation or bequest would you like to make?

  --- Please Select --- Cash/Cheque Donation Credit Card Donation Specific Bequest Residuary Bequest Other. Please specify >>> Other:
 

There are two types of bequest that you may make. They are the following:
(a) Specific Bequest:
I give to the Sir Edward Dunlop Medical Research Foundation for its general purposes the sum of :
$........ and a receipt from the secretary of the Foundation shall be sufficient discharge to my executors.
(b) Residuary Bequest:
I give the residue of my estate to the Sir Edward Dunlop Medical Research Foundation and a receipt
from the Secretary of the Foundation shall be sufficient discharge to my executors.

Donation Details:

Name
E-mail
Address
Solicitors:
Amount

Donations over $2 are tax deductible. If you require a receipt, please tick the box below.
Yes I would like a receipt. Please send to the above address.

Please print and send to Sir Edward Dunlop Medical Research Foundation