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I would like to participate as fund raiser in Simply Giving (
Please contact me for more info.
I would like to to be a part of Locks of Hope volunteer in helping the cancer patients !
I would like to to be a part of Locks of Hope member. Please contact for more info.

Sponsor a Locks of Hope wig

I would like to donate :
RM100 ______ Other Amount

Cheque no_____________ Pay to : Locks of Hope
Online transfer to : Persatuan Kunci Harapan
(Locks of Hope)
Hong Leong Bank 32200032450
(Please provide slip)

How to donate :
(1) Hair requirement :
Length: At least 6 inch/15cm long.
Condition : Dry, we accept colored hair.
(2) Go to ANY salon.
(3) Tie a ponytail with a rubber band and cut it.
(4) Mail this form, contribution and hair to:
Locks of Hope Association
50-1, Jalan SL 1/3,
Bandar Sungai Long,
43000 Kajang, Selangor.

I_________________________, I.C. No. _____________________, hereby confirm that I willingly agree to
donate my hair to the Locks of Hope Association with the intention for the collected hairs to be turned into wigs
for cancer patients undergoing chemotheraphy.
Donor Signature :

Contact Detail :
Date of Donation :

Thank you for your donation.

Contact Number : 011-33331662
Email Address :

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