PAWS: Kuwait - Annual Membershipform

Please note, every field needs to be filled in in order for this form to work, if question not applicable, please type N/A

Name:
Email (please type carefully):
Home address:
If family membership please list any other adult & childrens' names with ages:

Which type of membership would you like:

• KD 10 Junior Member (18 years & under)

• KD 20 Adult Member

• KD 35 Family Membership

• KD 100 Benefactor Membership

• KD 250 Life Membership

• Other (please call us for corporate sponsorship opportunities)

Enter type of membership here:

Once your form has been submitted we will call you to arrange collection of your annual membership subscription. Alternatively, membership donations can be paid online to our bank account (details below) or dropped off at a convenient location.

Thank you for caring. Together we make a difference in the lives of Kuwait 's abandoned pets.

Account Holder Name: Jacques Botha

Account Holders Address: P O Box 9763 , 61008 Al-Ahmadi , Kuwait
Account Holders Telephone Number: +(965) 944-0089 - mobile
Account Currency: Kuwaiti Dinar

Type of account: Watani Super NBK account
Bank Name: National Bank of Kuwait (NBK)
Bank Address: P O Box 95 , 13001 Safat , Kuwait
Account number: 0000 949 860 161
International Swift Code: NBOKKWKW