Request Information on leaving a bequest

Please fill out the form below if you would like further information on leaving a Bequest to The Fred Hollows Foundation.

Should you require additional information or if you wish to speak confidentially to our Planned Giving Co-ordinator please contact:

Yvonne Chandler
Phone: 02 8741 1900
Email: bequest@hollows.org
Address: Locked Bag 3100, Burwood NSW 1805 Australia

Completion of any part of this form is voluntary and information will be treated in the strictest confidence.

Title
* First Name
* Family Name
* Address
* Suburb/Town
State
* Postcode
* Phone
* Email
Your Date of Birth
Please select	Yes, I have included The Fred Hollows Foundation as a beneficiary in my Will My gift is a residuary amount from my estate I would like to receive a bequest information pack which includes information on the work of The Foundation and suggested wording for my Will I would like to receive updates on the work of The Foundation Please contact me by phone
Your comments or request for specific information
Should you require additional information or wish to speak confidentially to Yvonne Chandler, Planned Giving Co-ordinator: