I want to support Hypersomnolence Australia
Please fill in this form to sign up to become an official Hypersomnolence Australia Supporter. Supporters are required to make a minimum $25 annual tax-deductible donation (you can opt-out at any time).To make your donation please go to our PayPal Giving Fund https://www.paypal.com/au/fundraiser/charity/3567471

Please see our website for more details https://www.hypersomnolenceaustralia.org.au/getinvolved or contact us at info@hypersomnolenceaustralia.org.au if you have any questions.
Email address *
First Name *
Last Name *
Address *
Post Code *
Phone Number
What is your connection to Idiopathic Hypersomnia? *
Or why are you interested in supporting Hypersomnolence Australia?
If you answered 'other' to the above question please briefly describe your connection to IH or why you are interested in supporting Hypersomnolence Australia.
Would you like to receive information about our support groups? *
eg: Dates, times and topics that we may be focusing on etc. You can opt out at any time.
Are you interested in participating in the planning and executing of events and awareness for IH? *
Saying yes does not mean you are committing to participate. Selecting an option helps us know who may or may not be interested. You can decide whether you would like to participate when the time comes.
I understand that to become an official Hypersomnolence Australia Supporter I will be required to make a minimum $25 annual tax-deductible donation (you can opt-out at any time). *
If you haven't already, after you have submitted this form please go to our Paypal Giving Fund to make your donation. The link is at the top of this form. You will also find a donation link on our website.
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