Form
Dev. & Rebuilding Of Gaza Fund
Salutation *
 
Full Name *
 
Identity Card No *
 
Street Address *
Without the Postcode, City & State
 
Postcode *

 
City / Town *

 
State *
 
Home Tel. No
 
Mobile Tel. No *
 
Email *
 
Package Type *
1.
- RM300.00  X 
2.
- RM200.00  X 
3.
- RM100.00  X 
4.
Miscellaneous Donation
RM .00




Method Of Payment *
Subscribe to our newsletter?
Fields marked with * are required
 
Donate Right Now!!!

Auto-Credit Sponsorship
Orphan
Poor Family
Orphan Family
For any of you bloggers out there who wish to make a direct link to our Palestine Fund by displaying the above image, please copy the following link and then paste it anywhere on your blogs: Click
Survey

You found out about Aman Palestin through:
Flyers
Billboard
Tv
Whatsapp
Email