Pledge Form – Halimah's Helping Hands

Fields marked with an * are required

Name *

I/We commit to give to Halimah's Helping Hands *

Other amount

Regularity of donation *

Address

Email *

Home Phone Number *

Mobile Phone Number

Work Phone Number

I/We would also like to

Please do not send any money in the post.

You will be contacted on receipt of this pledge form.