DONATION REQUEST

The entire work of the Brotherhood of Blessed Gérard has to be financed through donations, because our patients are so poor they cannot contribute anything themselves. We depend on your gifts and we are most grateful for all donations no matter how big or small they may be.

The all inclusive monthly cost for the anti-retroviral treatment of an AIDS patient in our HAART Programme amounts to approximately 100 GBP (British Pounds) / 150 EUR (Euro) / 200 USD (US-Dollars) or CAD (Canadian Dollars) or CHF (Swiss Franks) / 1200 ZAR (South African Rand).

Therefore, we urgently look for groups, parishes, societies, clubs, associations, classes, companies or individuals who may be able and prepared to

take on a

sponsorship for an AIDS patient

by donating 100 GBP / 150 EUR / 200 USD or CAD or CHF / 1200 ZAR

regularly every month.

Smaller amounts or donations for other projects of the Brotherhood of Blessed Gérard are also most welcome!

Pledge of Sponsorship / Donation

Kindly indicate þ how you would like to support
the patients of the Brotherhood of Blessed Gérard:


o I want to sponsor an AIDS patient

of Blessed Gérard’s Hospice HAART Programme

through a regular monthly donation of

o £100 o 150 € o $200 o 200 CAD o 200 CHF o R1,200.

o I want to support the Brotherhood of Blessed Gérard as a Donor member

through an o annual o quarterly o monthly donation of

(amount):____________________ (currency) _____________________.

Title (Mr/Mrs/Miss/Dr):_________________________________________________

First Names: ________________________________________________________

Surname or
Company/Society: ___________________________________________________

Date of birth:

(use letters, not figures for the month)____________________________________

Postal address: ______________________________________________________

___________________________________________________

Postal/ZIP Code: _________________ Town/City: __________________________

State/Province: ___________________ Country: ___________________________

( (home) Code ______________ No. ___________________________________

( (work) Code _______________ No. __________________________________

Fax Code __________ No. ___________________________________________

E-mail Address: ______________________________________________________

Homepage URL: http://________________________________________________

Signed at: __________________________ Date: ____________________________

Signature: _______________________________________

Please send this form to the:

Brotherhood of Blessed Gérard · P O Box 440 · Mandeni 4490 · Republic of South Africa

Fax +27 32 4567962

This page is part of the Newsletter No. 25 of the Brotherhood of Blessed Gérard



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This page was last updated on Tuesday, 22 April 2008 02:03:31