child

  Sponsorship Form

Logo

SPONSOR INFORMATION

Name
E-mail Address
Address
Country
Zip Code
Phone Number
       
MATCH INFORMATION

How would you describe yourself as a sponsor?

Individual
Family
Company or Business
School Class or Youth Group
Other
Prefer not to answer
PREFERENCES

What type of children do you prefer and how many children you want to sponsor?
Baby And Toddler children
Girls girls
Boys boys
Special needs orphanage
Mixed-age and/or mixed-needs orphanage
Greatest need YASAH is currently looking for sponsors for orphanages
For a total of I would like to pay:
Check this confirmation, if all of your information is correct!


BRI
Financial support may be transfered into our account at
Bank Rakyat Indonesia (BRI), Medan (Indonesia)
A/c No. 0336-01-010380-50-8 in the name of PANTI ASUHAN SUNGAI AIR HIDUP

 






         2015 - www.yasah.org
Created by Habel H. Tungka