Individual Sponsorship Form

IDFA is seeking individual sponsorship to assist patients, carers and their families to attend the National Conference in July 2016. Please complete this form and thank you so much for your support.

Name:
E-mail:
Address:
Please list your chosen Donation or Sponsorship:
In return for your sponsorship, IDFA will:
In recognition of our sponsors we would like to invite you to attend the conference dinner on Saturday 7th July 2016. Would you like to attend?
Please invoice me for the sponsorship above:
Payment options:
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