Cover a Caregiver – Monthly Payment Pledge

Please enter your details below and we will be in touch to discuss how to make your monthly payment.

1. Your Personal Details

First Name*

Last Name*

Date of Birth*

Phone Number*


(Please include country dialing code for non-Eswatini phone number)

Email address*

City*

Country

Relationship to the Ministry*
—Please choose an option—I attend Potter's Wheel ChurchI am employed by Potter's Wheel ChurchI am employed by Challenge Ministries / BulembuI know someone who attends Potter's Wheel ChurchI know someone who is employed by Challenge Ministries / BulembuOther / None

2. Your Pledge

Pledge Start Date*

Pledge Frequency*
MonthlyAnnual

Donation Amount*
Please include the currency of your pledge

Payment Method*
—Please choose an option—Debit OrderEFTOnline

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