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First name
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Surname
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City
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Country
From which home?
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Phone number
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E-mail
This is the Child Sponsorship form. It is important for us to gather some details from you so we can customize as much as possible according to your interest.
We request that you complete the below form completely after which the information will be emailed directly to Light in Africa and you will be contacted after its review.
You may know of a particular child or have us propose one according to your preference. Please understand we try to avoid that one child might have multiple sponsors. In such cases we will consult with you.
Sponsorship becomes effective after the first donation transfer has been confirmed.
For UK residents a standing order for transfer from your bank to our UK bank-account is recommended. Others may choose to make regular transfers to one of the bankaccounts in either the UK, the Netherlands, Germany or Tanzanian or through Paypal. Details are provided on the "Ways to Donate" page.
Child Name
If you know the name of a specific child you wish to sponsor, please indicate its name, and location (LIA Home) here:
Child Sponsorship Form
Postal
Address
N/A
Tudor Village
Pilgrims
Fleeze
Light House
Do not know
Please provide us some indication of your preferences for child selection:
--- Gender ---
Boy
Girl
No Preference
--- Age group ---
2 yrs and under
3 - 7 years
8 - 11 years
12 - 16 years
17 - 20 years
No preference
I understand that all sponsorship finances help to support all the childerns' accommodation, provision of a nutritionally balanced diet and all educational and medical expenses.
*) 17-20 yrs incl. Secondary School fees
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Sponsorship
-- Interval --
Monthly
Quarterly
Half Yearly
Yearly
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Amount
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Currency
Wishes to participate in the Light in Africa Child Sponsorship program without any obligation.effective (dd/mm/yy)
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Postal Code
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Comments
day
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month
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Feb
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Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
year
2008
2009
2010
2011
2012
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2014
2015
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Transfered through:(select one)
(see page Ways to Donate for bank details)
Bank Transfer (Standing order) to our UK account
Bank Transfer (Standing order) to our TZ account
Through Paypal
Bank Transfer via the NL bank account
Bank Transfer via the DE bank account
Note
: you have to arrange for the bank transfer(s) yourself