Donation Form

THANK YOU FOR YOUR DONATION TO THE LOCAL COMMUNITY

We are happy to facilitate your donation to the community members and we will ensure that 100% of your donation goes to the community from the surrounding villages. Please take a moment to give us a little bit of information about your donation, below:

Name(Required)

First Last

Items Donated(Required)

Email Address(Required)

Enter Email Confirm Email

Phone Number

Alternatively, please tick here if you prefer to stay anonymous: *(Required)

Yes, you can publish my name

No, I would like to stay anonymous

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