Protection of public information form

Due to the PoPI Act we require HEBRA contributors to please sign and send back this release form (click here to download the form) so that we can verify the information we are receiving from Mamba in terms of the contributions. This applies to the original debit orders or EFTs as well as the contributors who have signed up for the one fee offer. If required we can also print and collect hard copies of this form for your convenience.

Please email the completed form to hebracommunity@gmail.com at your earliest convenience.

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