Suaram - Annual Sponsorship Form
For further queries, please contact our office at: suaram@suaram.net  or +603 7784 3525.


Sign in to Google to save your progress. Learn more
Name *
Contact Number *
Email address *
Amount of donation (RM) *
Type of donation *
Would you like to receive latest news on Suaram’s work and invitations to events via email? *
Would you like to receive complimentary copies of Suaram’s publications and the annual Human Rights Report?  If yes, please provide your mailing address below.
Payment for the do doncation can be made via the following method:

1. Online credit card at: www.tiny.cc/suaramcreditcard

2. Cheque or Cash – Direct banked to the following account:
SUARA INISIATIF SDN BHD
A/C No: 3103603014 (PUBLIC BANK)

3. Visiting SUARAM’s office at:
433A, Jalan 5/46, Gasing Indah, 46000 Petaling Jaya (Tel: +603 7784 3525).

Please forward the donation form and bank-in slip to
outreach@suaram.net or fax to +603 – 7784 3526 for our records

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Suara Rakyat Malaysia (SUARAM). Report Abuse