EAST Donation Form –
SUPPORTING TRANSFORMATION PROGRAMME

Thank you for making a donation to the eLearning Africa Supporting Transformation trust.
Please note: This form is secured using SSL technology. All information you send is encrypted, making credit-card payment safe.
All personal data you provide to us is protected by ICWE's Privacy Policy. ICWE GmbH guarantees that no information is divulged to third parties. This information is used by us for administrative purposes only.
 
Please fill in the form below. Items marked with * are required.

PERSONAL DETAILS

Title (e.g. Dr, Prof, etc.):
Form of Address:*
Surname:*
(as shown on passport, obligatory)
First Name(s):*
(as shown on passport, obligatory)
Street or P.O. Box:*
City:*
Zip / Postal Code:
Country:*
Telephone:*
+  -  - 
  country code - area code - number
Fax:
+  -  - 
  country code - area code - number
E-Mail:*
Website URL:

SUPPORT A LOW-INCOME PARTICIPANT

How much would you like to donate to the EAST Programme?
€ 25
€ 50
€ 100
€ 250
Other €    

100% of the money will go towards low-income ICT changemakers throughout Africa. For corporate and organisational donations, please contact us at info@easttrust.org.

 

PAYMENT

 
 
Please send me an invoice
 
I would like my gift to be anonymous:*
Yes
No
 
 
In order to check the correctness of your donation, we advise you to print your completed donation form before you click "Submit".
 
 By submitting this form I confirm that I have read and understood the General Terms and Conditions, the Privacy Policy and the Terms of Use that are specified on the eLearning Africa website.
 
 
 
 

 

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