Contribution Form for Once-Only Donation
Print and mail to:
The Messel Endowment
Science Foundation for Physics
School of Physics
The University of Sydney
NSW 2006
Australia
I enclose a cheque, made out to the
University of Sydney for A$__________
Please charge my credit card for the sum of A$ _____________
Bankcard Visa Mastercard
Card Number
Expiry Date
Cardholder Name _____________________________________
Cardholder Signature ____________________ Date ____________
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