Acknowledge a Donation

Paper form number(*)

Please do not include "#".

Date(*)

Invalid Input

Shelter(*)

Invalid Input

Shelter email(*)

Invalid Input

Bellville regular donor name(*)

Invalid Input

Bellville donor name - Others(*)

Invalid Input

Bellville donor postal address

Invalid Input

Bellville donor phone number

Invalid Input

Bellville donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Ceres regular donor name(*)

Invalid Input

Ceres donor name - Others(*)

Invalid Input

Ceres donor postal address

Invalid Input

Ceres donor phone number

Invalid Input

Ceres donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

District Six regular donor name(*)

Invalid Input

District Six donor name - Others(*)

Invalid Input

District Six donor postal address

Invalid Input

District Six donor phone number

Invalid Input

District Six donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Old Age Homes regular donor name(*)

Invalid Input

Old Age Homes donor name - Others(*)

Invalid Input

Old Age Homes donor postal address

Invalid Input

Old Age Homes donor phone number

Invalid Input

Old Age Homes donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Kalk Bay regular donor name(*)

Invalid Input

Kalk Bay donor name - Others(*)

Invalid Input

Kalk Bay donor postal address

Invalid Input

Kalk Bay donor phone number

Invalid Input

Kalk Bay donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Kensington regular donor name(*)

Invalid Input

Kensington donor name - Others(*)

Invalid Input

Kensington donor postal address

Invalid Input

Kensington donor phone number

Invalid Input

Kensington donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Napier Street regular donor name(*)

Invalid Input

Napier Street donor name - Others(*)

Invalid Input

Napier Street donor postal address

Invalid Input

Napier Street donor phone number

Invalid Input

Napier Street donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Kraaifontein regular donor name(*)

Invalid Input

Kraaifontein donor name - Others(*)

Invalid Input

Kraaifontein donor postal address

Invalid Input

Kraaifontein donor phone number

Invalid Input

Kraaifontein donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Retreat regular donor name(*)

Invalid Input

Retreat donor name - Others(*)

Invalid Input

Retreat donor postal address

Invalid Input

Retreat donor phone number

Invalid Input

Retreat donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Wynberg regular donor name(*)

Invalid Input

Wynberg donor name - Others(*)

Invalid Input

Wynberg donor postal address

Invalid Input

Wynberg donor phone number

Invalid Input

Wynberg donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Swartland regular donor name(*)

Invalid Input

Swartland donor name - Others(*)

Invalid Input

Swartland donor postal address

Invalid Input

Swartland donor phone number

Invalid Input

Swartland donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Paarl regular donor name(*)

Invalid Input

Paarl donor name - Others(*)

Invalid Input

Paarl donor postal address

Invalid Input

Paarl donor phone number

Invalid Input

Paarl donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Moira Henderson House regular donor name(*)

Invalid Input

Moira Henderson House donor name - Others(*)

Invalid Input

Moira Henderson House donor postal address

Invalid Input

Moira Henderson House donor phone number

Invalid Input

Moira Henderson House donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Mossel Bay regular donor name(*)

Invalid Input

Mossel Bay donor name - Others(*)

Invalid Input

Mossel Bay donor postal address

Invalid Input

Mossel Bay donor phone number

Invalid Input

Mossel Bay donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Claremont regular donor name(*)

Invalid Input

Claremont donor name - Others(*)

Invalid Input

Claremont donor postal address

Invalid Input

Claremont donor phone number

Invalid Input

Claremont donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Head Office donor name(*)

Invalid Input

Head Office donor postal address

Invalid Input

Head Office donor phone number

Invalid Input

Head Office donor email

Invalid Input

Note: Only complete this section if you would like to send the donor a thank you letter.

Donation category(*)

In-kindCash

Invalid Input

Item 1 quantity(*)

Invalid Input

E.g. 3 bags, 5 kg, 10 crates.

Description(*)

Invalid Input

E.g. mixed fruits and vegetables, milk, bones.

Item 2 quantity

Invalid Input

Description

Invalid Input

Item 3 quantity

Invalid Input

Description

Invalid Input

Item 4 quantity

Invalid Input

Description

Invalid Input

Item 5 quantity

Invalid Input

Description

Invalid Input

Cash receipt number(*)

The cash receipt number should be unique.

Amount ZAR(*)

Invalid Input

Cash receipt photo

Invalid Input

Completed by(*)

Invalid Input

Street

Invalid Input

The Haven CRS

Donation management

Donation Acknowledgement Form