Remittance Advice Form

All organisations who participate in the Colour Your Day Appeal in 2008 will be entered into a draw to win a $2000 electrical package courtesy of Norac. To ensure your entry is validated, make sure you deposit all funds raised and submit a remittance advice before close of business on Friday, 29 February 2008.

Your E-Mail Address (Required)

ID Number (Required)

This unique number is located on the Participant Instructions sent with your pack.

Given Name/s (Required)

Surname (Required)

Organisation

Position

Daytime Phone (Required)

Postal Address (Required)

League staff may provide department name

Amount Remitted (Required)

Date Remitted (Required)

Method of Remittance (Required)

Cerebral Palsy League of Queensland

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Remittance Advice Form

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