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Yes , I want to support research to help people with brain disorders Leaving a legacy of hope Through your support of the Neurological Foundation you are able to change the lives of future generations of New Zealanders who will be affected by neurological disease. Your donations help our researchers to progress their life-changing work. I would like to give the following gift: Your Will is a unique opportunity to support the people and causes that are important to you after you have gone. A bequest in your Will is a simple gesture that will leave a lasting legacy, and make a difference for future generations of New Zealanders. If you wish to leave a bequest to the Foundation, you should contact your solicitor or trust company and ask for the following clause to be inserted in your Will: I give to the Neurological Foundation of New Zealand the sum of $................. (or a ………….. share in the residue of my estate) for the general purpose of the Neurological Foundation (or for a specific purpose) and I declare that the official receipt of an authorised officer Neurological Foundation shall be sufficient discharge to my executors. There’s no requirement to tell us that you’re leaving a bequest to the Foundation. However, we would like to make sure that your generous giving is personally acknowledged in your lifetime, so it’s a great help if you let us know your intention. Gifts of $5 or more are eligible for a tax credit – an official receipt will be issued to you annually unless requested otherwise. You can also DONATE ONLINE at neurological.org.nz or by phone 0508 BRAINS (0508 272 467). Thank you for your generous support. I want to be a regular giver I want to know more about leaving a bequest $25 $5 $50 $150 Other $ Mr/Mrs/Ms/Miss/Other: First Name: Surname: Street Address: ID No. Vol 122 Town/City: Postcode: Phone: Email: My cheque is enclosed made payable to the Neurological Foundation Please charge my credit card Receive receipts by email (individual or annually) Please do not add my name to your mailing list Card number: Name on Card: Signature: $75 OR Expiry Date I would like to become a member of the Neurological Foundation per year Please return your gift with this coupon to: Neurological Foundation of New Zealand PO Box 110022, Auckland Hospital, Auckland 1148. If you require further information on bequests, please contact us on 0508 BRAINS (0508 272 467).

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