:: Minoru Hokari Memorial Scholarship Funds ::
University of New South Wales (UNSW):
International House Minoru Hokari Memorial Scholarship
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>> Donation form
*** Print out this page, fill out the form and send it to Dr. Robert Lundy at the following address or fax number)
FAX: +61 (2) 9313 6346
International House Ltd.
UNSW, Sydney, USW 2052
>> International House Scholarship Fund Contribution
Donations to the Scholarship Fund are tax deductible in Australia and the U.S.A.
In making this donation I understand that this is a gift to the UNSW International House Ltd. to assist in the establishment of International House Scholarships, and that neither I nor International House are entering into a contractual obligation.
> Your details
Name: Mr /Mrs /Ms /Dr /Prof
> Payment Method
Please charge my: Visa / Mastercard No:
Name on card:
I enclose an AUD $ cheque or bank draft to "International House Ltd." (ABN 21000476933)
> Donation Acknowledgement
Please indicate how you would like your name to appear on the International House Honour Roll, publications or Scholarship Plaque, so that we may acknowledge your gift correctly: