I wish to sponsor a child on a:Monthly basisYearly basisOnce-off donationFor the amount of:How would you like to contribute?EFTDebit OrderIf debit order, please complete the form below: I authorize Durbanville Children’s Home to debit my account with: R0.00This authority may be cancelled by me/us giving you thirty days notice in writing, sent per email. I/we understand that I/we shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force if such amounts were legally owing to you. Receipt of this instruction by you shall be regarded as receipt thereof by my/our bank (whichever it is or will be). ASSIGNMENT: I/We acknowledge that the party hereby authorised to effect the drawing(s) against my/our account may not cede or assign any of its rights to any third party without my/our prior written consent. I/we may not delegate any of my/ our obligations in terms of this contract authority to any third party without prior written consent of the authorized party.Bank InformationCheckboxCurrent/ChequeSavingsTransmissionDonation every month on this dayPreferably the 1st of each monthDateConsent *Yes, I agree that my personal information may be used.Send Message