Debit Order Sign Up

As a community-funded, not-for-profit organisation, Hatzolah relies solely on the generosity of you, the community, to cover essential running costs such as ambulances, training, administration and equipment.

Your donation wil l help to ensure our survival. Please consider a monthly debit order with Hatzolah and help us to continue saving lives.

Please complete the details below and one of our fundraising consultants will contact you.

Name

Surname

Registration/ID/Passport Number

Please Enter a Valid Registration/ID/Passport Number.

Contact Number

Please enter a valid contact number (10 digits, starting with 0).

Debit Date

Donation Type

Account Holder Name

Account Number

Bank Name

Branch Code

Note:

We don't ask for your credit card details here to keep your info safe. One of our consultants will give you a quick call to get them securely.

Custom Amount (R)

TOTAL R 0

By submitting this form, you authorise Hatzolah to debit your account in accordance with the payment details provided.

Office Tel:	0860 100 101
Email:	info@hatzolah.co.za
Postal:	P.O. Box 51021 Raedene 2124

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Debit Order Sign Up

Debit Order Sign Up