Gatekeepers Donation Form [Bank Transfer / Cheque]

I'd like to transform culture!

via Bank Transfer / Cheque
I'm giving as an:*

IndividualOrganisation
How would you like us to address you?*

First NameLast Name
Full Name
Name as per NRIC
Email*
Please provide a valid email
Mobile Number (for WhatsApp text)*

Country CodePhone Number
Organisation*
Designation/Role in Organisation*
Date*

DayMonthYear
Date
Donation Amount*
I am giving via*

Bank TransferCheque
BANK TRANSFER

Account Name: Gatekeepers (Singapore)

Account No.: 001-009032-1

Bank Name: DBS Bank Ltd

Swift Code: DBSSSGSGXXX
CHEQUE

1. Make cheque out to: Gatekeepers (Singapore)

2. Indicate at back of cheque:

Account No.: 001-009032-1
[Your Full Name as per NRIC] + [Mobile#] + [GKGift]
3. Drop the cheque off at any DBS Quick Cheque Deposit Box or mail to:

31 Pekin Street #02-01, Singapore 048761
By submitting this form, you consent to:
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- being photographed during the event for use in Gatekeepers (Singapore)'s social media and marketing materials. You may request in writing if you require an exemption.
Should be Empty:

I'd like to transform culture!