Debit Order Mandate

Name and Surname *

Email Address *

Contact Number *

Physical Address *

Donation Amount *

Name of Bank *

Account Holder *

Branch Name *

Account Type *

Account Number *

Branch Code *

Authorisation *

I agree to authorise and instruct the Dadewethu Foundation to debit the above amount from my above mentioned account each month on my specified date. These authorised and instructed debit orders will be treated as though they have been signed by me.

Send a copy to my email address

For any queries, please feel free to contact us between these hours:

Monday – Friday: 8.30 - 16.00
Weekends and Public Holidays: Closed

	Tel: +27 65 909 1585
	Cell: +27 72 567 8999
	E-mail: info@dadewethu.co.za