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MAKE A CONTRIBUTION TO GLAUCOMA NZ

Make a donation and/or purchase your lens cleaning cloths. Glaucoma NZ is a registered charitable trust, so all donations $5.00 and over are tax deductible for which receipts will be issued.

* First Name:
* Last Name:
* Address:
Postcode:
Telephone:
Email:

Purchase your Lens Cleaning Cloths

Minimum order for lens cleaning cloths is 3 for $10. Additional cloths $3.00 each.

Quantity:

Make a Donation

Donations $5.00 and over are tax deductible. Receipt will be issued.

Donation amount: $
Payment options
Direct credit payment to ASB account
GLAUCOMA NEW ZEALAND
123013 0180964 00
Date of direct credit:
/ /
Credit Card
Payments by cheque - please click here

Please print out and fill in the details then send it to following address with cheque made out to Glaucoma NZ for the total amount of your fee.

Glaucoma NZ
Department of Ophthalmology
The University of Auckland
Private Bag 92019
Auckland 1142

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