Assistance to The Living Link

Please complete the form below to allow us to record your kind offer of assistance.
We will contact you shortly.
Thank you so much for your generosity!

Name of individual / company(*) :

Email Address (*) :

Landline Number:

Cell Number (*) :

Fax Number:

Postal Address

I / We wish to make a donation of R to the Living Link

I / We wish to assist as follows:

We want to make sure that you are a human being so please enter the code below – thanks!