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  • WWF-Malaysia Donor Detail Changes Form

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    Abdullah Bahrin
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    This document is an authorization form for donors to make changes to their donation details such as account information, credit card details, donation amount, and frequency. It provides fields for donors to input their name, address, contact details, account numbers, and signature to authorize the changes. Donors are to fax the completed form to the provided number to process changes to their direct debit donations to WWF-Malaysia.

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    This document is an authorization form for donors to make changes to their donation details such as account information, credit card details, donation amount, and frequency. It provides fields for donors to input their name, address, contact details, account numbers, and signature to authorize the changes. Donors are to fax the completed form to the provided number to process changes to their direct debit donations to WWF-Malaysia.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    115 views1 page

    WWF-Malaysia Donor Detail Changes Form

    Uploaded by

    Abdullah Bahrin
    This document is an authorization form for donors to make changes to their donation details such as account information, credit card details, donation amount, and frequency. It provides fields for donors to input their name, address, contact details, account numbers, and signature to authorize the changes. Donors are to fax the completed form to the provided number to process changes to their direct debit donations to WWF-Malaysia.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
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    WWF-Malaysia 49, Jalan SS23/15, Taman SEA, 47400 Petaling Jaya, Selangor, Malaysia Tel: !

    0 3 7"03 3772 #a$: !0 3 7"03 5157 Email: %a&an'&&()org)my *e+site: &&&)&&()org)my

    DIRECT DEBIT DONOR PROGRAMME


    Authorisation Form for Donor Details & Donation Changes
    * fill-in where appropriate

    MY DONOR DETAIL CHANGES Full Name (as per IC/Passport): IC No#: *ailin+ A,,ress: -el (.): /-mail: I0 H/R/B1 A2R// -. C.N-IN!/ %I-H *1 IR/C- /BI- .NA-I.N -. %%F*A"A1$IA FR.* -H/ F."".%IN2 N/% ACC.!N-0 %I-H I**/ IA-/ /FF/C-# CHANGE OF AUTODEBIT ACCOUNT DETAILS *a34an5 Name of A66ount Hol,er: A66ount No#: CHANGE OF CREDIT CARD DETAILS *asterCar, Cre,it Car, No#: Issuin+ Ban5: CHANGE OF DONATION AMOUNT AND FREQUENCY New onation Amount: R* onation Fre;uen63: /ffe6ti7e: .N.R<$ $I2NA-!R/: ______________________________ DATE: _________________________ monthl3 e7er3 (-months 8isa A*/9 /:pir3: A66ount -3pe: $a7in+s/Current RHB -el (H): HP No#: BAHRIN BIN AB !""AH $erial No#: %C&'())

    Symphony House Project Partner to the World Wide Fund for Nature Malaysia Mailing Address: Pusat Dagangan Dana 1, alan P ! 1"#$%, $&'(1 Petaling aya, Selangor) Tel: 1300-88-99369 Fax: 03-7841 9217

    ***Kindly fax completed form to: FAX: 603- 7841 9217

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