Help Us Help Them

Help Us Help Them - an initiative by the Rotary E-Club of East Rand

Our objective has several purposes:
1. Build a database of charities who have specific needs
2. Connect people in need to charities
3. Connect community members who can help these charities
Whether the need is for animals, people or the environment, or you are a charity or want to help a charity, our aim is to connect people to charities
Name & Surname of Person Completing the Form

NameSurname
Contact Number of Person Completing the Form

Country CodeArea CodePhone Number
E-mail address of Person Completing the Form
Name of the Charity / NPO
Where is your Charity / NPO based?
Type where you are based
Complete the details below of the Charity / NPO
Contact Person's

First NameLast Name
Phone Number

Country CodeArea CodePhone Number
Email
example@example.com
Select your Social Media Platforms
Select the category your charity falls under by choosing one of the boxes below.
Select the category your charity falls under
What is the Charity / NPO's urgent needs?
Add your urgent needs here
What else does the Charity / NPO accept in the way of donations?
Add your donation needs here
Does your Charity / NPO offer Volunteer Opportunities?
Consent
I agree that I have completed this form to the best of my knowledge. I understand that Rotary eClub of East Rand is using this platform to create a database for Charities and NPOs to assist with ease-of-use with regards to donations and contact details.
Signature
Fill in your full name

First NameLast Name
Signature
(Signature of Guardian if under 18 years)
This Database is POPI Act compliant and no information will be given out without consent. Information received will be subject to review and each NPO/Charity will need to complete the OPT-IN form in order for their details to be added. Database brought to you by Rotary eClub of East Rand. For more details contact shebs8169@gmail.com or 082 489 5090
Date

YearMonthDay
Date
Should be Empty:

Complete the details below of the Charity / NPO