Donate Form

Please select which item you are able to assist with:
Wishlist Items	Maintanence at Mitchells Plain Childline CentreCouches for Mitchells Plain CentreComputers for Childline CentresCar for Bishop Lavis Childline CentreChild Protection Project
Please contact the below in order to arrange collection/delivery/confirmation of the above donations:
Email Address *
First Name *
Surname *
Phone Number (Office Hours) *
Phone Number (After Hours) *
Cellphone Number *
Its Best To Contact Me	Choose one...During Office HoursAfter Hours
Address *
City *
State/Province *
Zip or Postal Code *
Country *
Message to Lifeline/Childline Western Cape
Please enter the 4 letters in bold

For information on Monthly Giving kindly refer to our Debit Order Form.

For information on a once-off donation kindly refer to our Once-Off Donation Form.

For more information on our programmes or our organisation and how you can assist further kindly contact: 

Lorraine Shelly- (021) 438 2336