I WANT TO PLEDGE

This page is for individuals, family groups and small companies to record their support for the Heal Our Nation Campaign.” Please enter your details and we will add your names to the signatory scroll for people to view online and we will send you pledge certificates for each person who pledges.

Please make your donation before recording your pledge.

Larger Companies and Qualifying Organizations / PBOs click here for more information.

Please enter your contact details, then the names of each person who is pledging.
Group name
Eg Smith Family 		Contact name Email address
Where we can send
the pledges 		Phone Number
Where we can
contact you 		Total Amount
pledged (R) 		 
 

Pledges to be issued to:

Enter up to three names at a time. Click "Add Names" to add more pledges. Click "Submit" when finished.
 
Surname Forenames Location Surname Forenames Location Surname Forenames Location

Verification
To verify your application, please write the word pledge in the box below before submitting.