Ending AIDS Donation Signup Form

Learn More about ENDING AIDS CAMPAIGN

Monthly Donation

Option 1

^RM20^{/ monthly}

Provide 1 tablet of life-saving HIV medication.

Option 2

^RM40^{/ monthly}

Provide 5 tablets of life-saving HIV medication.

Option 3

^RM60^{/ monthly}

Provide 11 tablets of life-saving HIV medication.

People Living With HIV (PLHIV) will consume 4 tablets Daily.

Make A Monthly Donation

I would like to make a MONTHLY DONATION

RM20 / monthly
RM40 / monthly
RM60 / monthly

Other Amount

Please donate whatever you can to help us.

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Name *

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Last

IC No *

Contact No *

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Mode of Payment

Debit from Credit Card Account
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Credit/Debit Card No

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Expiry Date

All donation above RM50 are tax deductible under Malaysian law. Exempted from income tax under subsection 44(6) Income Tax Act 1967.Ref.JHDN.01/35/42/51/179-6.4095.
Earn Maybank Treatpoints when you use your Maybankard to donate to the Malaysian AIDS Foundation.

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Name

One Time Donation

Make A One Time Gift

I would like to make a MAKE AN ONE TIME GIFT

RM600 (Provide 1 Month of life-saving HIV medication)
RM1,200 (Provide 2 Months of life-saving HIV medication)
RM1,800 (Provide 3 Months of life-saving HIV medication)

RM5 can provide 1 tablet of life-saving HIV medication. People Living With HIV (PLHIV) will consume 4 tablets Daily, 120 tablets per month.