Hearing the silent voice
Donation Form
Yes! I wish to support the work of ComaCARE
R 50 Will pay for a training book for a family member or care giver
R 75 Will pay for 4 posters to explain coma in hospitals
R100 will print two books explaining coma to children
R500 will train one care giver in basic communication techniques.
R50
R75
R100
Other
Debit Order
Please fill in your details to enable a monthly debit order.
current
savings
transmission
with R
on the
1st
day of each month in accordance with the debit order system.
name
address
tel (h)
tel (w)
mobile
bank
branch
code
account
Alternatively our banking details are :
First National Bank
Branch code: 201109
Cheque Account number 62094378017
I would like to receive the
ComaCare
quarterly newsletter
yes
no
Direct credit card donations will be possible on this site shortly.
