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Donate to Cape Town Water Crisis
Name:
Surname:
Mobile number:
Email address:
Date of birth:
Amount:
R 38.00
R 75.00
R 113.00
R 150.00
R 375.00
R 750.00
R 1 500.00
R 3 000.00
R 4 500.00
R 6 000.00
R 7 500.00
R 15 000.00
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I want this donation to be:
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I want to donate via Credit Card
I want to donate via Debit Order EFT
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January (01)
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Credit card expiry year:
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2019
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Bank:
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Absa
Bank of Athens
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Capitec
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Bank account number:
I accept the terms and conditions as set out
here
.