Sponsorship Form

Please insure that your project meets our donation focus areas and that you understand the criteria and information.
Please note that all fields are compulsory.

Applicant Information

Full Name *

Role/Position within organization *

Organization Information

Registered name of organization *

NPO/Registration number *

PBO Number *

Email Address *

Physical Address Line 1 *

Physical Address Line 2 *

Telephone Number *

Detailed description of organisation *

Project Details

Project Name *

Project background *

Percentage black recipients as per BBB-EE certificate / affidavit *

Donation needed *

Organization Certification

*Please note: Only word documents (.doc|.docx|.odt) and PDF documents (.pdf) can be submitted. We don't accept files that are bigger than 4MB. To reduce file size, please remove any unnecessary images.

Only submit BEE Certifcate or Affidavit for Black Beneficiaries and not Black-owned.

Download templates:

EME Form | QSE Form

NPO certification *

Choose file or drag here

temp-for-67126-file2-1_

BEE certifications/Affidavit *

Choose file or drag here

temp-for-67126-file2-2_

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Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

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Amplify Dual USB Wall Charger