Appeal for Support: Accra and other Communities Flood Relief and Rehabilitation Initiative
Support the flood relief and rehabilitation effort.
Donor Information
Full Name / Organization Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Location / Residential Address
Type of Contribution
How would you like to support the flood victims?
*
Financial Donation
Food Items (Non-perishable items, canned foods, rice, oil, etc.)
Water and Beverages
Clothing and Bedding (Blankets, mattresses, wearable clothes, etc.)
Medical Supplies and First Aid
Sanitary and Hygiene Products (Soap, sanitary pads, detergents, etc.)
Volunteering / Logistics Support (Packing, distribution, transportation)
Other
If you selected Other, or want to specify details about your donation, please describe it here
Fulfillment and Logistics
For physical relief items, how do you intend to deliver them?
*
I will drop them off at the designated collection point
I require the team to arrange a pickup from my location
Not applicable (Financial donation / Volunteer only)
Pickup Address
Preferred Date for Pickup/Drop-off
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Time for Pickup/Drop-off
*
Hour Minutes
AM
PM
AM/PM Option
CARIFIKA Contact Details:- Carifika Nigeria - Head Office (Africa)House E0008 Phase 1, Cajaah EstateOrozo, Abuja, NigeriaBank Account Number: 1313135409Bank Name: Zenith Bank (Nigeria)Bank Account Holder: Carifika Network for Sustainable DevelopmentUSD account detailsAccount Number: 215113113186Bank Name: LeadACH Routing: 101019644Wire Routing: 101019644Account Type: CheckingBank Address: 1801 Main St., Kansas City, MO 64108Accra And Kumasi, Kingfab - Adumanu, Nayas street, Bridge junctionWebsite: www.carifika.orgHeadquarters: Agyeman Kofi Street, off Abrepo Jnc Road, Kumasi-GhanaEmail: wisdom.agyapong@carifikaglobal.org or CNSD.Admin@carifikaglobal.orgPhone: +23303224981767
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