Order Form for Flyers

Please enter your details below to order this double-sided A4 flyer.

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We are making these flyers available at no charge,
but would be very grateful for a donation towards our campaign. 
(About 20-30c per flyer would cover our costs, but any amount is welcome!)

Deposits can be made into this account:
Euthanasia-Free NZ Inc.
Kiwibank Onehunga
(Please add 'donation' as reference).

If you would like a receipt, please indicate that below. 
Unfortunately donations are not tax deductible.

If you have any questions or would like help with your order,
please contact us at info@notoassistedsuicide.nz or 0800 42 76 42.

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How many flyers would you like?
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