Donation Step 1 of 3

Please provide your donation information.


How do you want to support?*

How much you want to support?*

RM

30

90

365

Others

Frequency*

Monthly

Quarterly

Half-Year

Yearly

Duration*

Terms & Conditions*

Please agree to terms and conditions before you proceed to next page
All personal data will be protected, you may refer to Privacy Policy and Donation Refund Policy for more details.
Please agree to terms and conditions before you proceed to next page
  1. The Recurring Donation is only available for credit/debit card payment.
  2. Card transaction is processed every 25th of the month, successful transaction will be notified by Life Line Association Malaysia (LLAM) via email within 3 days after each transaction.
  3. The recurring transaction will stay in effect according to the donation period that you have filled in ( e.g. : if you choose to donate for one year, the admin department will inform you about this service one year later).
  4. If you choose to terminate this service, you are required to give a 15 days written notice or by submitting updated information.
  5. All donations are non-refundable.
  6. I have confirmed the personal information above is correct and will be stated in the receipt issued.
  7. All personal data will be protected, you may refer to Privacy Policy and Donation Refund Policy for more details.

Compulsory information (for documentation purposes)*

The Individual / Company Name field cannot be empty
Key in number only, remove "-". Please enter a valid number.
The Email field cannot be empty

Do you need Tax-exemption receipt?*

The Individual / Company Name field cannot be empty
The NRIC / Passport No. / Company Registration No. field cannot be empty
The Address Line 1 field cannot be empty
The Postal Code field cannot be empty
The City field must be letter and cannot be empty
The State field must be letter and cannot be empty
The Country field must be letter and cannot be empty

Is hardcopy receipt needed?*