Let us know if you would consider making health equity your legacy

Thank you for letting us know that you are considering leaving a gift in your Will to Burnet Institute. Together we can create breakthroughs in health for all. Together we are the future of health.

To start off, we will need some identifying markers to ensure we update the correct record.

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* 1. Full name:

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* 2. Phone number (in case we need to clarify any changes with you):

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* 3. Email address:

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* 4. What would you like to let us know?

I've left a gift in my Will to Burnet Institute.

I intend to leave a gift in my Will to Burnet Institute.

Please send me more information on things to consider when writing my Will.

Please call me to discuss a few things.

Other (please specify)

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* 5. While you are here, any other updates you would like to make?

Remove my name from the mailing list. Sorry to see you go, but we will remove your details from the database as requested.

Update my contact details. Please fill in the form below.

Reduce the number of communications I receive.

Speak to someone.

Other (please specify)

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* 6. Update my contact details as below:

My name:

My date of birth:

My new mailing address:

My email address:

Thank you for taking the time to let us know. We will action this ASAP. If you have any questions, please call Penny Burke, our Relationships Manager, on 0429 461 661. She does only work Monday, Tuesday and Thursday, but if you leave her a message she will call you back.