Donor Pledge Form

/Donor Pledge Form
Donor Pledge Form 2018-06-26T10:10:44+00:00

Alternatively you can download and fill in the manual form and email it to

Your Name (required)

Your Email (required)

Phone no (required)

Address (required)



I am interested in learning more about the Khulisa Global Mentorship MovementI would like to become a mentorI would like to assist financially

I would like to make an immediate gift/pledge of £

I would like this gift to be:
Unrestricted (used where the need is greatest)Applied to the Khulisa Global Mentorship MovementApplied to the purchase of tablets for basic IT tuition and mentor/mentee communication (100 GBP per tablet)Applied to resilience development programme for secondary school children (e.g. 60 GBP per person)

Pledge Payment Options:
Cash or cheque (Please make cheque payable to Khulisa Social Solutions)Credit Card
If credit card selected please enter fields below:
Credit card no.
Exp Date
CVV (3 numbers on the back)

EFT For UK donors

UK Khulisa
Lloyds Bank
Sort Code: 30-97- 06
Account Number: 01581480
Charity Checkout is integrated into our website:
This method includes tax rebate for UK citizens

South African and other donors can donate by typing this into your browser