Midget Farrelly Recognition Committee

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Midget Farrelly Recognition Committee - Donations over $1000

Thank you for your interest in generously donating to a memorial statue for Midget Farrelly at Palm Beach, NSW, Australia.

Donations over $1000 will be made via the Manly Art Gallery that provides a full tax deduction. Please complete the form below and we'll be in touch with an invoice and deposit details.

For donations under $1000, please use the GoFundMe page at https://www.gofundme.com/f/midget-farrelly-recognition

Full Name: *

Email Address: *

Phone Number:

Intended Donation Amount (Over AUD$1000): *

For donations under $1000, please use the GoFundMe page at https://www.gofundme.com/f/midget-farrelly-recognition

Would you like your donation to be anonymous to the public? *

Yes

Any other information we need to know from you? e.g. Company information for tax invoice.

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