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OUR BANK DETAILS - Local

                    BANK:                NEDBANK 
                    BRANCH:            Mimosa
                    BRANCH CODE:  11 71 34
                    A/C NO:              1171 04 7134
                    A/C NAME:         AIDSMO Trust: Lebone

OUR BANK DETAILS - International

   BANK:              NEDBANK SOUTH AFRICA
   ADDRESS:       Mimosa Mall, Kellner Street, Bloemfontein,                                 Free State 
   ZIP CODE:        9301
   BRANCH:         Mimosa
   SWIFT CODE:  NEDSZAJJ
   SORT CODE:   11 71 34
   A/C NO:           1171 04 7134
   A/C NAME:      AIDSMO Trust: Lebone 
                          P O Box 28360    Danhof 9310
                          South Africa

 

YOUR OPPORTUNITY TO HELP US

      Yes! I want to …..

• give a gift for the amount of R___________

• commit myself to contribute; please debit my account per details below

•  join the “Share the Light” project (see Fund-Raising)

• commit myself to pray for the programme

• get involved in the programme

• enclose my cheque made payable to: AIDS Mission Outreach Trust

Name……………………………………….

Address…………………………………….

Tel (…………)…………………………..

BANK: …………………………………… BRANCH: …………………… 
CODE:………………………...

A/c NO: ………………………………….. TYPE: ……………………….…...

AMOUNT: R….……………………………...

(in words) ……………………………………
# SINGLE        # MONTHLY        # QUARTERLY

…………………………………………….
SIGNATURE: