160482 Aug 2016 Support our discoveries… give today

The Walter and Institute is Donation form home to more than 800 researchers who are working to understand, Title: First name: prevent and treat diseases including Last name: - particularly blood, breast, ovarian, colon and lung Address: - , , State: Postcode: , HIV, tuberculosis and . Telephone: ( ) Mobile: We are doing this because: Email: ▶ In 2010, more than 114,000 new cases of cancer were diagnosed in Please accept my donation of $ and more than 43,000 Australians Cheques should be made payable to The Walter and Eliza Hall Institute died of cancer. of Medical Research. ▶ Breast cancer is the second-highest To charge the donation to your credit card: cause of cancer death in Australian women. Credit card type (please tick one): ▶ Malaria kills up to one million people Visa MasterCard Diners American Express each year. Cardholder name (as shown on the card): ▶ More than 120,000 Australians have type 1 diabetes. ▶ Coeliac disease affects approximately 1 in 100 Australians. Card Number: Today, more than 100 clinical trials based Expiry Date: / on discoveries made at the institute are currently underway. These include trials of a new class of anti-cancer drugs and Cardholder signature: vaccines for type 1 diabetes, coeliac When the institute acknowledges this donation I/we wish my/our name to read as follows: disease and malaria.

I wish my donation to remain anonymous. The Walter and Eliza Hall Institute relies on donations from the community to Please send me information about making a gift to the institute in my will. continue its vital research. Donations of $2 or more are tax deductible in In memoriam donations Australia. Your support helps us improve In memory of people’s lives. Please write advising of my tribute and expressing my sincere sympathy to: Mailing address for donations: Walter and Eliza Hall Institute of Title: First name: Medical Research Reply Paid 84760 (no stamp required) Last name: Parkville Vic 3052 Address: Or email this completed form to: [email protected] Or fax this completed form to: State: Postcode: (03) 9347 0852

To make a secure online donation visit The Walter and Eliza Hall Institute of Medical Research has Australian Taxation Office endorsement as a www.wehi.edu.au/donate deductible gift recipient under subdivision 30-BA of the Income Tax Assessment Act 1997. All donations of $2 or more are tax deductible in Australia. Alternatively, you can make a donation The institute protects your privacy in accordance with the Information Privacy Principles of the Information Privacy by telephoning (03) 9345 2403. Act 2000. The institute’s privacy policy is available at www.wehi.edu.au. The Walter and Eliza Hall Institute of Medical Research ABN 12 004 251 423