EPILEPSY QUEENSLAND
INTEREST OF SUPPORT REGISTRATION FORM

If you are interested in assisting Epilepsy Queensland by raising funds, selling merchandise, volunteering your time or encouraging others to support, please complete this form and one of our Fundraising team will make contact with you.

If you wish to register your interest via telephone – please contact us on 07 3435 5000 or 1300 852 853 (outside Brisbane).