KASIH FOUNDATION DONATION FORM
INSTRUCTIONS

1. Please complete this Donation Form.
2. If you opt for C4 as your mode of payment, please download the Donation Form from your email and send it together with your cheque, by post to us.
3. If you opt for any mode of payment other than C4, you may submit this Donation Form on-line, but separately send to us your pay-in slip and/or other documents supporting your payment, by post, fax or email.

Yayasan Kasih
Public bank account no. 3146.909514
Email: admin@kasihfoundation.org

Thank you so much for helping us to help others!

Email address *
Name : *
Your answer
Address: *
Your answer
Postcode: *
Your answer
Tel/Mobile No: *
Your answer
Donation Sum *
PAYMENT METHOD *
Cheque Details (BANK)
Your answer
Cheque Details (Cheque No.)
Your answer
Date of payment *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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