Matla A Bana

PLEDGE FORM

NAME AND SURNAME

EMAIL ADDRESS

NAME OF CYCLIST YOU ARE SUPPORTING

DONATION AMOUNT

I will make my donation via

Eft (Please see bank details below)
Web donation (Please see link below)

PLEASE SUPPLY THE FOLLOWING (Donations of R 1000+)

Form 18A (Tax deduction purposes)
BEE Certificate
INVOICE

FULL NAMES AND ADDRESS (To issue above documents)

Please use your surname as the bank reference.

Name of cyclist you are supporting

Monique Strydom : R 500 (Dream Team)
Hennie Van Rooyen : R55 000 (Hennie)
Andre Thys : R 55 000 (Andre)
Shop2Shop : R 15 000 (Garth & Izak)

Bellmann Engineering: R 30 000 (Kai)

Wolf Security: R 55 000 (Garth)
Moore Stellenbosch : R 55 000 (Izak)