Support PWT by Debit Order

Authority for Donation by DEBIT ORDER

YES, I would like to support the Pilanesberg Wildlife Trust!

To sponsor by debit order, please choose one of the following methods:

Click on the following link to open a printable debit order form: Printable Form

After printing the form, complete and Fax it to:
+ 27 (0)14 555 5871

OR

Fill out an on-line form

To sponsor by debit order, please fill out and submit the form below. The PWT manager will contact you to to verify your debit order and your method of payment.

* Indicates required field
First Name*:
Last Name*:
Title*:
Organisation:
Postal Address*:
Country*:
Contact Number*:
E-mail:
I wish to sponsor by debit order the amount of R to PWT on the Choose day 5th 30th day of each month.
Bank/Building Society:
Branch Code:
Account Number:
Account type:	Choose account type Current Transmission Savings
My details are correct as reflected above.
Date*:
Please Choose an option escalate do no escalate my donation by 10% on the anniversary of this debit order.
Security Code*:	Please enter the code: here: (to limit SPAM).

Alternately you may mail your donation to the address below.

Thank you !

Andrew Jackson
CEO: Pilanesberg Wildlife Trust
Tel: + 27 (0)14 555 1622
Fax: + 27 (0)14 555 5871

Postal Address:
P O Box 1201
Mogwase
0314
North West Province
South Africa

Banking Details

Pilanesberg Wildlife Trust
FNB, cheque account
Branch: 260246 - Mogwase
Account: 62031121255