About you

Name:		Telephone:
Address:		Email:
Postcode:
I would like to sponsor a child

About the child

A girl A boy A girl or boy, I don't mind

Who lives in:        North Gondar        South Gondar        North Wollo        Addis Ababa        Anywhere, I don't mind

Sponsorship

Date sponsorship to begin:

We ask sponsors to pay a minimum of: £13 or 20 euros or US$27 monthly, £39 or 60 euros or US$81 quarterly, or £156 or 240 euros or US$324 annually.

How often do you wish to make sponsorship payments:        Annually        Quarterly        Monthly

Currency: Sponsorship payment amount each time: Therefore, total to be paid annually:

Sponsorship payment method:    Cheque    Cash    Standing Order

Do you require a Standing Order Mandate?     Yes     No

Is there any other information you wish to give us?