ActionAid  Sponsorship Form

 Help change a child’s  life today 

 

If you choose to download the form, please fill it out and email it to supporters.za@actionaid.org or fax to +27 (0) 11 4920667


  • Please fill in the details below

  • Donor Details

  • Make a Donation to ActionAid South Africa

  • Form Of Authority And Mandate In Respect Of All Electronic Debits

  • This field is for validation purposes and should be left unchanged.

Beneficiary’s address: 16th Floor Edura House ,41 Fox Street, Johannesburg
I hereby authorise you to issue and deliver payment instructions to your banker for collection against my above mentioned account at my above mentioned bank (or any other bank or branch to which I may transfer my account) on condition that the sum of such payment instructions will never exceed my obligations as agreed to in the donation agreement and commencing on the payment date as selected above and continuing until this authority and mandate is terminated by me by giving you notice in writing of not less than 20 ordinary working days, and sent by email.

 

I understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. I understand that my bank will apply charges at their ruling rates for unmet transactions. I also understand that any banking fees incurred by International Fundraising may be recovered of unmet transactions.

 

ASSIGNMENT
I acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.

 

CANCELLATION
I agree that although this Authority and Mandate may be cancelled by me, such cancellation will not cancel the donation agreement. I shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force if such amounts were legally owing to you.

Monthly Debit Order Form

I/We (title, full name and surname of donor or supporter)

hereby authorise that the amount specified below be transferred from my bank account specified below to the bank account of Actionaid South Africa, account number 62518566635,First National Bank, Branch code 250655, for the donation for the project detailed below. This arrangement will remain valid until the End Date specified below, or until I recall it in writing by sending an email to supporters@actionaid.org

Donor details

Name of cause you wish to support (required)

Your Name (required)

Surname (required)

Your Email (required)

Please enter one of the following details: Tel (H)/ Tel (W) or Cellphone (required)

RSA ID Number (required)

Non RSA ID Number (required)

Country of Issue

Donor banking details(No Credit Cards)

Account type (required) :  Current / Cheque Savings Transmission

Bank Name

Branch Name

Branch Code

Account Number

Bank Account Name

Amount per month (ZAR)

Debit Order Start Date

I have read and accepted the terms to on this form

By clicking the send button,I hereby authorise you to issue and deliver payment instructions to your banker for collection against my above mentioned account at my above mentioned bank (or any other bank or branch to which I may transfer my account) on condition that the sum of such payment instructions will never exceed my obligations as agreed to in the donation agreement and commencing on the payment date as selected above and continuing until this authority and mandate is terminated by me by giving you notice in writing of not less than 20 ordinary working days, and sent by email.

I understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. I understand that my bank will apply charges at their ruling rates for unmet transactions. I also understand that any banking fees incurred by International Fundraising may be recovered of unmet transactions.

ASSIGNMENT

I acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.

CANCELLATION
I agree that although this Authority and Mandate may be cancelled by me, such cancellation will not cancel the donation agreement. I shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force if such amounts were legally owing to you.

Payfast donation

Donate to us through our secure Payfast page here

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secure-payments

+ SPONSORSHIP FORM
  • Please fill in the details below

  • Donor Details

  • Make a Donation to ActionAid South Africa

  • Form Of Authority And Mandate In Respect Of All Electronic Debits

  • This field is for validation purposes and should be left unchanged.

Beneficiary’s address: 16th Floor Edura House ,41 Fox Street, Johannesburg
I hereby authorise you to issue and deliver payment instructions to your banker for collection against my above mentioned account at my above mentioned bank (or any other bank or branch to which I may transfer my account) on condition that the sum of such payment instructions will never exceed my obligations as agreed to in the donation agreement and commencing on the payment date as selected above and continuing until this authority and mandate is terminated by me by giving you notice in writing of not less than 20 ordinary working days, and sent by email.

 

I understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. I understand that my bank will apply charges at their ruling rates for unmet transactions. I also understand that any banking fees incurred by International Fundraising may be recovered of unmet transactions.

 

ASSIGNMENT
I acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.

 

CANCELLATION
I agree that although this Authority and Mandate may be cancelled by me, such cancellation will not cancel the donation agreement. I shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force if such amounts were legally owing to you.

+ DEBIT ORDER

Monthly Debit Order Form

I/We (title, full name and surname of donor or supporter)

hereby authorise that the amount specified below be transferred from my bank account specified below to the bank account of Actionaid South Africa, account number 62518566635,First National Bank, Branch code 250655, for the donation for the project detailed below. This arrangement will remain valid until the End Date specified below, or until I recall it in writing by sending an email to supporters@actionaid.org

Donor details

Name of cause you wish to support (required)

Your Name (required)

Surname (required)

Your Email (required)

Please enter one of the following details: Tel (H)/ Tel (W) or Cellphone (required)

RSA ID Number (required)

Non RSA ID Number (required)

Country of Issue

Donor banking details(No Credit Cards)

Account type (required) :  Current / Cheque Savings Transmission

Bank Name

Branch Name

Branch Code

Account Number

Bank Account Name

Amount per month (ZAR)

Debit Order Start Date

I have read and accepted the terms to on this form

By clicking the send button,I hereby authorise you to issue and deliver payment instructions to your banker for collection against my above mentioned account at my above mentioned bank (or any other bank or branch to which I may transfer my account) on condition that the sum of such payment instructions will never exceed my obligations as agreed to in the donation agreement and commencing on the payment date as selected above and continuing until this authority and mandate is terminated by me by giving you notice in writing of not less than 20 ordinary working days, and sent by email.

I understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. I understand that my bank will apply charges at their ruling rates for unmet transactions. I also understand that any banking fees incurred by International Fundraising may be recovered of unmet transactions.

ASSIGNMENT

I acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.

CANCELLATION
I agree that although this Authority and Mandate may be cancelled by me, such cancellation will not cancel the donation agreement. I shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force if such amounts were legally owing to you.

+ PAYFAST PAYMENT

Payfast donation

Donate to us through our secure Payfast page here

secure-donations
secure-payments