CREDIT CARD AUTHORISATION FORM
Full Name:
Billing Address:
City:	State:
ZIP/ Postal Code:	Country:
Phone:	E-mail:
Method of Payment (Mastercard, Visa, Amex):
Credit Card Number:
Exp Date:	Last 3 Digits (on reverse of card):
I hereby authorize Enkosini to debit my credit card with the amount of ____________________________
Signature :		Date:

Please scan and email to enkosini@xsinet.co.za or alternatively fax to +27.13.231.7473.

Your donation will go directly to support wildlife conservation in the field, allowing us to carry out and extend our efforts to protect Africa’s wildlife and wild lands.

*Donations are Tax-Deductible*