Yes! I want to help Blue Care reach out!
If you would like to make a donation to Blue Care, print and then complete this form.
Please mail the completed form to:
Blue Care
PO Box 1638
Milton, D.C. 4064
OR, Please fax the completed form to:
(07) 3377 3366

 Please make cheques payable to Blue Care.

 Box $35 Box $50 Box $100 Box Other $.........................

 Box I will be paying by cheque OR  Box I authorise Blue Care to debit my Credit Card.

 Box Bankcard Box Mastercard Box Visa Box AMEX Box Diners

 tickboxtickboxtickboxtickbox  tickboxtickboxtickboxtickbox  tickboxtickboxtickboxtickbox  tickboxtickboxtickboxtickbox

 Expiry Date: ........./.........

 Cardholder's signature: .......................................................................................

 Title: ......... First Name: ................................... Surname: ..................................

 Address: ...........................................................................................................

 Suburb: .......................................................... Postcode: ..................................

 Email: ...............................................................................................................

 Phone Number: ..................................................................................................

 If you would like to know more about Blue Care please tick:
 tickbox Volunteer Program tickbox Car sponsorship tickbox Investments
 tickbox Correct wording of Wills tickbox Blue Care services tickbox Memorial Gifts

 I would like to be kept informed about how my support is making a difference:
 tickbox Yes, please send me the Blue Care newsletter.

UnitingCare Queensland


www.bluecare.org.au
Your donation of $2 and over is tax deductible. Your donation will be returned to your local area. Thank You.