Event Registration Form

[forminator_form id=”4275″]

Name: Charis Hospice
Bank: Public Bank
Account Number: 3141630622
Whatsapp proof of bank in to: +6011-1246 6757

Payable To: Charis Hospice
Address:
No. 26 & 28, Lintang Paya Terubong 3, 11060 Penang, Malaysia

Choose the “FPX” option in the donation form

charishospice@gmail.com