Adoption Option

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Please select which best describes you I have adopted a child / children in to my family I placed my child for adoption I was adopted I work in this field (please specify job) Other (please indicate your interest) Please specify:

Membership Donation $25 Annual Membership Donation (Membership runs from 1 January to 31 December) If you would like to give an additional donation to support the Trust please select below $10 $20 $50 Other How much?:

Please either complete and print out this form and post it with a cheque made payable to the Adoption Option Trust to:

P.O.Box 13434,
Christchurch 8141

Or, complete this form and pay by internet banking.

Reference: AOT Member
Our bank account number is: 38 9007 0838755 00

A tax deductible receipt will be sent in due course.

Please note our GST Number is 91849682 and our Charity Number is CC22714

Thank you for your support.