Membership Form

Become part of the Cape Town Child Welfare Family for only R25.00 per year!

Title

Mr Ms Mrs

Name

Surname

Country

Telephone

Country
Dial

Area
Code

Fax

Country
Dial

Area
Code

E-mail

Annual Membership Fee (please tick the appropriate box)

R 25 per adult R 5 per child under 16 years

Membership fees are subject to 14% VAT, but donations are tax free.
Should you wish to make a further gift,
please complete the section entitled "Donation" below:

Membership Fee

Donation

Total

Date

Please note that monies may be deposited directly into our Bank Account

Please contact Jenny Wrankmore on Telephone: +27 21 638 3127 or Fax +27 21 638 4193 with any queries.

BANK: FIRST NATIONAL BANK
BRANCH: CLAREMONT
BRANCH CODE: 200 109
ACCOUNT NO: 501 903 901 92

Clearly mark the deposit slip "Membership fees"

A copy of the deposit slip should be sent to:
Fax No: 27 21 638 4193 for attention Jenny Wrankmore

Email to information@helpkids.org.za

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