This form is designed for you to fill in, print, sign and post.
It does not "go anywhere" on-line.

SPONSORSHIP APPLICATION FORM

For as little as £125 a year (primary) and £250 (secondary) you can make a difference to the life of a child from Mityana. Or why not sponsor a teacher for £800 a year to help a class of children? To help a grandparent provide food and essentials costs £15 a month.

If you would like to sponsor a child / teacher / grandparent then please complete the form below and send it to

Mityana Charity (sponsorship) email: enquiry@mityanacharity.org

45 Qualitas
BRACKNELL
RG12 7QG

Name
Address
Postcode
Email Address
Phone Number
I would like to sponsor a teacher.

I would like to sponsor a grandparent.

I would like to sponsor child /children

Preference (boy or girl) age  (this cannot be guaranteed but we will try our best)
I am completing a standing order form (preferable to save administration costs).
I enclose a cheque for for the whole year.
Signature
 
Date

We will contact you when we receive your form and will send details of the child as soon as it is available.