PHILLIP ISLAND CONSERVATION SOCIETY INC PUBLIC FUND

NAME:

ADDRESS:

YES! I want to support the PICS Public Fund with a tax deductible donation

    ☐  $50 ☐ $100 ☐ $150 ☐ $200 ☐ My Choice $________

Please make cheque/money order payable to Phillip Island Conservation Society Public Fund and mail to: The Treasurer, PO Box 548, COWES, Vic. 3922.

All donations over $2 are tax deductible

ABN 48 392 256 921