MyHill ALS Donation Form
Thank you for your generosity.
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Payment Options
*
Chinabank - Maria Eliza Cornejo - 1043 0203 1193 (or scan QR below)
BDO - Maria Eliza Cornejo - 00 7070 166 165 (or scan QR below)
Maya - Maria Eliza Cornejo - 0917 816 4588 (or scan QR below)
Gcash - Maria Eliza Cornejo - 0917 816 4588 (or scan QR below)
Maribank - Lea Marie Esguerra - 1585 3910 446 (or scan QR below)
BPI - Lea Marie Esguerra - 1899 0737 77 (or scan QR below)
Metrobank - Leah Fatima Barboza - 7423 86157 0003 (or scan QR below)
Paypal Transfer - Leah Fatima Barboza - 0906 362 4153 (or scan QR below)
Payment Reference Number
*
Proof of Donation
*
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