The GIFT that keeps on GIVING
Please fill in this form to become a monthly donor of Give a Child a Family Africa.
Sign in to Google to save your progress. Learn more
Name *
Surname *
Cell number *
Email *
Would you like us to add you to our database to receive our monthly newsletters, event invitations and promotions? *
Physical Address *
Bank name *
Account holder *
Account type *
Account number *
Branch code *
Amount *
Preferred date *
I confirm that all the above information is correct and that I have agreed to make a regular donation via monthly payments. I hereby instruct and authorise Give a Child a Family Trust Africa to draw against my bank account the set amount which is due and payable by me in terms of this agreement. This order will remain effective until cancelled by me in writing. *
Date *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy