Sponsor Application Form

I would like to be considered as a sponsor for Al-Noor's children. Please find my details and commitments below: * fields required.

Details of Sponsor

Name:           *

Address1:       *

Address2:      

City/ County: *

Post Code:    *

Country:        *

Tel Office:   

Tel Home:     *

Tel Mob:      

Email:          *

 

I would like to sponsor  Child(ren).

I will make a contribution

of * indicate amount

starting every 1st of every month. In case of quarterly or yearly, please indicate which month and date you would like to commence payments:        

** Please note that each child costs roughly USD 30 per calendar month**

I undertake to maintain the above numbered children for

. However should my circumstances change, I will give no less than 3 months notice, to enable Al Noor to find another sponsor.

I will send my contributions to the following account:

Barclays Bank, 36-38 Park Royal Rd, London NW10 7JA, UK. Sort Code 20-92-60, Account No: 73964795           account name: Al Noor Society

HSBC 51A Dharmapala Mawatha, Colombo 03, Sri Lanka.       SWIFT: HSBCLKLX, acc No 003-009990-001 account name: Al Noor.

I will use my name as reference against my contributions. (This is to help us track payments).

Al Noor will send you details of your sponsored child(ren), pictures and any relevant documentation such as school reports etc as and when available. Please note where ever possible we will email rather than post. This is to reduce unnecessary expenses.

Typing your name here will be taken as equivalent to your signature:

 *

Date:       *

If you wish to add any comments, please do so below.



Thank you for supporting Al Noor!