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To become a monthly donor, please fill out the form below.
Donation Information
Amount
*
$30
-
Provides Early Childhood Education for one child for a whole year
$15
-
Provides After-school Programming for one child for a whole year
$6
-
Provides one child with meals for the whole year
$
Recurring Payment Schedule
Monthly
Donation Designation
*
To designate your gift to a specific program, choose one from the following list. If you'd prefer it to go where it is needed most, please choose General.
select one
Early Childhood Development
After-school Programmes
Feeding
Organic Farming
NIVEA Thanda Centre
General
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
Is this Gift in Honor or Memory of an Individual?
*
No
Yes - in honor of
Yes - in memory of
Name of individual this gift is in honor or memory of
*
First Name
Last Name
May we notify the honoree of your gift?
*
No
Yes
Honoree's email address
*
Verify Email
*
May we notify a family member or friend of your gift?
*
No
Yes - by email
Yes - by mail
Name of family or friend to notify
*
First Name
Last Name
Family or friend's email address
*
Verify Email
*
Family or friend's Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
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