Monthly donation application

Monthly donation application


A donation scheme based on the principle of ensuring the receipt of an on-going monthly donation amount on a regular habitual manner to secure a constant source of income; thus contributing to the costs of treatment and operations at the hospital. This scheme will be structured so as to facilitate for the donor for the actual process of donating the money through devising a reminder system and an easy suitable channel for the donor either through making a bank transfer to a 57357 account or through the internet or by sending a foundation employee to collect the money.

If you wish to participate in this program please fill in this application form :


Preferred channel of donation:

How were you informed about hospital 57357?

If it was through different ads, which ad in your opinion, featuring different segments of society, impacted you the most:

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