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Individual / Family Supporter Form

Becoming an OUTA supporter is quick & easy.

Your support, by way of a monthly or annual contribution, enables us to plan, manage and expand our mandate in a sustainable manner.

Preferred Contribution Frequency:

Select the amount you would like to donate

Step 1 : Personal details

Please complete your personal and contact details below. Fields marked with * are compulsory.

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CONTRIBUTION DETAILS:

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Card types accepted: VISA VISA Electron Mastercard
Please note that credit cards are processed during the first few days of the month depending on weekends and public holidays. If you register within this period we may possibly only deduct your contribution in the next month.

By clicking contribute you confirm that O'Keeffe & Swartz BPO (PTY) LTD (Reg. No. 2006/009125/07), an authorized Licensed Financial Services Provider FSP No.35478, acting on behalf of OUTA has the authorisation to debit the indicated account for the amount indicated. The donation may be cancelled at any time by providing a 30 day notice, our contact number is 0860 800 703.

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By clicking contribute you:

Please set up an EFT stop order with chosen contribution amount on your internet banking, using the following details : (NOTE: clicking ’REGISTER DONATION’ does not automatically set up an EFT as this can only be set up by yourself.)

OUTA BANKING DETAILS:
BANK ACCOUNT HOLDER: OUTA
BANK: ABSA
BRANCH: Rosebank (632 005)
ACCOUNT NO: 4079154375
BENEFICIARY REF: Please ensure that you use your Supporter number as reference when making your EFT contributions.

By clicking ’CONTRIBUTE’ you pledge to contribute the indicated amount via EFT to OUTA. The details will also be sent via e-mail. Please e-mail proof of your EFT to supporter@outa.co.za in order for us to allocate it to your supporter profile.