The Help-Net Fund

HelpNet Donation Formation

Your Information

Full Name

ID Number

Telephone

Address

Bank Details

I, the undersigned, request SafeHouse to arrange with my bank to collect, by means of the debit order system, the payments in terms of the stipulations of this debit order of the amount and details as mentioned below.

Account Name

Account Number

Bank Name

Branch

Type Of Account

Amount

Terms

Monthly

Once-off Only

Submit Cancel

Donate

Please complete the bank debit order form on the website. You can also download and mail us the form instead. You can also make a bank transfer at any time.

BANKING DETAILS

ABSA Hatfield, Branch Code: 335-545,
Cheque Account nr : 405 455 3588

Download the Debit Order Form Here.