1 Year of Support 
Thank you so much for your willingness to financially support the work of the Ubomi Obutsha Centre for 12 consecutive months!

Please complete all fields below & tap "Submit" ... & we will contact you via email within a few days to confirm receipt of your form submission.  If you don't receive an email from us, please send us an email at: admin@ubomiobutsha.org or send a Whatsapp to 082 473 4389.

Once completed, please arrange for a monthly payment to be made to:
Ubomi Obutsha Centre - First National Bank - Acc: 62129245355
Ref: Initial & Surname
- Please request receipts via email if needed
- - Section 18A Tax Certificates will be available at the end of the current tax year.

Your details submitted here will not be used for any purpose other than communicating relevant UOC information, and will be kept secure and only be accessible to the UOC Support Team Committee.
Sign in to Google to save your progress. Learn more
Name *
Surname *
Email address *
Whatsapp Number *
How much will you be supporting each month? *
Another amount ... ? *
Any amount not listed above
When should we expect the first deposit? *
How would you like to receive our monthly Snippet Newsletter? *
2min read + a few pictures
Where/through whom did you link to this form?
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ubomi Obutsha Centre. Report Abuse
Google Forms