Debietorder Inligting. Debit order Information Volle Naam / Full name Van / Surname ID Nommer / ID number Selfoonnommer / Cellphone number E-pos / E-mail Adres / Address Banknaam / Bankname Taknaam / Branchname Rekeningnommer / Account number Takkode / Branchcode Tipe Rekening / Account Type Tjekrekening / Cheque account Spaarrekening / Savings account Transmissierekening / Transmissions account Verbandrekening / Bond account Subskripsierekening / Subscription Share account Aftrekdag / Withdrawal day 1 2 3 4 5 6 7 8 9 10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bedrag / Amount Bedrag in woorde / Amount in words Datum / Date Artikel 18a Kwitansie/Article 18a Receipt Ja / Yes Nee / NoWaarvoor moet jou donasie aangewend word / For what purpose must your donation be used? Other / Ander Project 21 / Projek 21 (algemeen / general) Light for a Child / Lig vir 'n Kind Sponsor a meal / Borg 'n ete Skooltassie projek / School bag project Waar het u van Projek 21 gehoor / Where have you heard about Project 21 Webblad / Website Facebook Andries Pretorius Dirk Stoltz(jnr) Gerhard Stoltz Ander/Other Spesifiseer ander hier / Specify other here Verifikasiekode / verification code Tik die verifikasiekode in die spasie / Type the verification code in the space Powered by ChronoForms - ChronoEngine.comFaLang translation system by Faboba
