Individual giving form

Please print the page, complete and post to
Queensland Library Foundation
PO Box 3488
South Brisbane Q 4101

Name...........................................................................................

Address........................................................................................

...............................................Postcode........................................

Preferred telephone number..........................................................

e-mail...........................................................................................

Please select one of these options:

Donation Check box$50 Check box $20 Check box $100 Check box $200 Check box Other________________ (Donations over $2.00 are tax deductible)
Frequency Check box One Off Check box Monthly Check box Quarterly Check box Annually
Payment type Check box Master Card Check box Visa Check boxAmex Check box Cheque (Make payable to: Queensland Library Foundation)

 Payable to  

Queensland Library Foundation
PO Box 3488
South Brisbane  Q  4101

Amount being charged $...................................................

Card number................../.............../................/..............

Name on card.................................................................

Expiry date............../..............

Signature of cardholder....................................................

Date............................................................................. 

If you are interested in becoming a regular giver or would like to create a legacy in the form of a bequest, please contact Kylie Strudwick on 3840 7865.

* Please note: while cheques are made out to the Queensland Library Foundation, claims for tax deductibility should be made under the name of the State Library of Queensland. Please consult your financial advisor for further information.

The State Library of Queensland respects your privacy. Personal information we collect is used for internal activities and functions (Libraries Act 1988) and will not be disclosed unless required by law.


Queensland Library Foundation
State Library of Queensland |PO Box 3488 | South Brisbane Q 4101
T: 07 3840 7767 | F: 07 3840 7860 | E: foundation@slq.qld.gov.au

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