FORMULIR MITRA HOPE RUMAH IMPIAN
Jenis Mitra Hope:
1. MH 50 K - donasi bulanan sebesar 50.000 s.d. 499.999
2. MH Prima - donasi bulanan sebesar 500.000 s.d. 999.999
3. MH Ultima - donasi bulanan sebesar 1.000.000 atau lebih
4. Sponsor Anak (silakan menghubungi admin)

Terimakasih atas kesediaan Bapak/Ibu/Saudara berkomitmen menjadi Mitra Hope Yayasan Rumah Impian. Semoga Tuhan membalas kebaikan Bapak/Ibu/Saudara.

Kontak kami di
email : lsm.rumah.impian@gmail.com
telepon : 0274 4986760 (Senin-Jumat 9.00-17.00)

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Email *
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Tanggal lahir (birth date) *
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Berkomitmen menjadi Mitra Hope (agree to join Mitra Hope)... *
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Berkomitmen selama (duration of commitment) *
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Donasi ditransfer ke rekening (Donation will be transfered to)... *
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Bersedia dihubungi untuk program Yayasan Rumah Impian yang lain (Agree to receive information about our programs) *
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