Support BrAshA-T

You can support BrAshA-T and the fight against A-T by purchasing BrAshA-T Merchandise, attend a BrAshA-T event and/or make a donation to BrAshA-T.

2012 Brisbane Gala Dinner

Table host name / sitting with
Please support BrAshA-T by attending the 5th Annual BrAshA-T Gala Charity Dinner and Memorabilia Auction to be held at the Eatons Hill Hotel & Function Centre on Saturday the 13th of October 2012 (6:30pm for 7pm start).
Table of 10 ($950)		$
Single Ticket ($95)		$
Total		$
We are extremely grateful to our Major Sponsor, the Super Retail Group Our MC for the evening is Tim Mander, former leading NRL referee, State Member for Everton and Assistant Minister for Sport & Racing

Merchandise

As part of our fundraising efforts and to further raise the awareness of A-T, we also market BrAshA-T merchandise:

T-Shirt ($15)		$
		$
		$

Sticker ($2)		$

Cap ($15)		$

Srixon Golf Ball ($4)		$

Key Ring ($5)		$

Pen ($5)		$

Umbrella ($20) * Out of Stock *		$

	Postage:	$

	Merchandise Total:	$

Donation

Donations to BrAshA-T are greatly appreciated and are 100% tax deductible. BrAshA-T has endorsed DGR (deductible gift recipient) status and is a not-for-profit organisation.

Donation Amount: $

Contact Details

First Name:
Surname:
Organisation:
Street Number:
Street:
Suburb:
State:	Post Code:
Home Phone:
Mobile:
Email:
Please notify me of upcoming fundraisers and any advances in A-T Research